Claim total
$8,254.71
base $93.39 · payer covered $6,603.77
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-12-29
- Stop
- 2023-12-29
The parties
- Patient
- patient Donnie Walton Murazik
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2f90a40b-d771-5e53-4867-a8569dee1def