Claim total
$3,151.26
base $93.39 · payer covered $2,521.01
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-10-25
- Stop
- 2025-10-25
The parties
- Patient
- patient Willow Jesus Boyle
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2adbf31f-21de-8538-05b6-7d73396fe206