Claim total
$3,980.69
base $93.39 · payer covered $3,076.23
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-05-20
- Stop
- 2024-05-20
The parties
- Patient
- patient Martín Gustavo Farías
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
296bff62-da20-817b-4e49-b779fc2aa987