Claim total
$448.51
base $93.39 · payer covered $398.51
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-08-25
- Stop
- 2025-08-25
The parties
- Patient
- patient Merideth Sabrina Wyman
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1bb67376-9296-102b-e4cd-a05e01af0c33