Claim total
$3,223.62
base $93.39 · payer covered $2,430.22
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-11-03
- Stop
- 2019-11-03
The parties
- Patient
- patient Santo Booker Denesik
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
0cd2f232-7bae-607a-29b0-8e7c2d25a7ad