Claim total
$615.04
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-06
- Stop
- 2021-10-06
The parties
- Patient
- patient Grady Isidro Gislason
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
168b0a68-7fc5-5c5f-1128-a44ee9d4a54f