Claim total
$486.65
base $93.39 · payer covered $41.60
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-11-26
- Stop
- 2017-11-26
The parties
- Patient
- patient Cesar Jay MacGyver
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
3b811cbd-0050-5937-2eaf-23f90b1d9931