Claim total
$2,601.09
base $93.39 · payer covered $2,601.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-05-21
- Stop
- 2017-05-21
The parties
- Patient
- patient Sue Clorinda Gleichner
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1569b433-cb14-321e-56c5-170f2cea4ab1