Claim total
$2,601.09
base $93.39 · payer covered $2,080.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-30
- Stop
- 2016-10-30
The parties
- Patient
- patient Stevie Paris Bechtelar
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
18202402-df4f-60f9-3c43-76d97413a7d9