Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-10-19
- Stop
- 2015-10-19
The parties
- Patient
- patient Frank Rubin Gusikowski
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1fa1da3d-87d7-ecad-95cd-5b73e3025aeb