Claim total
$263.57
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-10-10
- Stop
- 2025-10-10
The parties
- Patient
- patient Myra Frank Hegmann
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
1b7277d2-c0b4-ddd7-7d9e-db15649743c1