Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-06-21
- Stop
- 2021-06-21
The parties
- Patient
- patient Nelda Ebony Jerde
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1746240e-c6cd-a5fb-51ed-0ee5b44cb932