Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-08-29
- Stop
- 2021-08-29
The parties
- Patient
- patient Gisela Rosalyn Schulist
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
184d403d-a1ec-6f40-3519-ef64b4aada8e