Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-10-08
- Stop
- 2017-10-08
The parties
- Patient
- patient Jaquelyn Lavina Mueller
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1a7de96a-49f9-9668-4343-af6c86e87724