Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-04-10
- Stop
- 2017-04-10
The parties
- Patient
- patient Tomas Claud Breitenberg
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
14714504-853a-5097-c373-e825e38d3dc4