Claim total
$685.61
base $93.39 · payer covered $685.61
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-08-15
- Stop
- 2021-08-15
The parties
- Patient
- patient Mariann Tennie Dooley
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1b992c53-6e6f-6996-9d54-07da3e290544