Claim total
$285.82
base $93.39 · payer covered $228.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-08-13
- Stop
- 2025-08-13
The parties
- Patient
- patient Deandre Dylan Wisozk
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
198037c0-3402-fbe3-a1a5-d23b2a205a36