Claim total
$5,307.99
base $93.39 · payer covered $4,246.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-05-24
- Stop
- 2023-05-24
The parties
- Patient
- patient Thaddeus Kennith Pouros
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
150d2bd4-42df-badc-a428-794e8ae61bcf