Claim total
$2,987.44
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-06-01
- Stop
- 2018-06-01
The parties
- Patient
- patient Garry Kenton Vandervort
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
105a5425-4355-e889-be33-72963d0be410