Claim total
$455.24
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-07-24
- Stop
- 2018-07-24
The parties
- Patient
- patient Adan Chas Howell
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
16136637-5d32-ce95-5c49-86deaecdb5ff