Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-06-08
- Stop
- 2022-06-08
The parties
- Patient
- patient Sanford Normand Monahan
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
27b3c9e2-1e5f-8d53-cf10-3d58b8788637