Claim total
$269.54
base $93.39 · payer covered $215.63
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-05-18
- Stop
- 2018-05-18
The parties
- Patient
- patient Hertha Francisca Hills
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2d50c1da-048e-fcd4-3653-feee7a75734b