Claim total
$5,852.00
base $93.39 · payer covered $2,349.52
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-04-10
- Stop
- 2015-04-10
The parties
- Patient
- patient Rickey Arlen Murazik
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
1ba953e8-854b-0afe-9ab7-50a82038bd2a