Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1947-01-31
- Stop
- 1947-01-31
The parties
- Patient
- patient Page Jesica Batz
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1d6d5362-a15b-f65e-d779-a6e02997ad6c