Claim total
$341.45
base $93.39 · payer covered $273.16
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-05-16
- Stop
- 2017-05-16
The parties
- Patient
- patient Lorenzo Alberto Upton
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0c0591a9-0f49-c13a-9fef-7abcae9735ec