Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-01-21
- Stop
- 2024-01-21
The parties
- Patient
- patient Valery Francene Kling
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
14451ec8-afe3-ed24-a41a-8e3fecc5dc63