Claim total
$8,702.65
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-07-25
- Stop
- 2018-07-25
The parties
- Patient
- patient Spencer Olen Fay
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
127cedd0-f1be-4cc1-ab09-78dc9d4ae8c1