Claim total
$751.47
base $93.39 · payer covered $601.17
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-06-04
- Stop
- 2018-06-04
The parties
- Patient
- patient Gavin Wisoky
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
24ce3151-c7c0-43c5-c291-751f574c91b4