Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-04-25
- Stop
- 2019-04-25
The parties
- Patient
- patient Gwyn Andria Jakubowski
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1d7176d6-ddf2-55da-0440-e8587f3255a4