Claim total
$751.47
base $93.39 · payer covered $601.17
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-01-23
- Stop
- 2023-01-23
The parties
- Patient
- patient Willow Jesus Boyle
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2adbf31f-21de-8538-f0ba-d50a5d545916