Claim total
$4,775.58
base $93.39 · payer covered $3,820.46
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-22
- Stop
- 2023-11-22
The parties
- Patient
- patient Pia Harmony Herzog
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2bf9f10a-9d29-2838-a77f-0fc5a352bf12