Claim total
$391.26
base $93.39 · payer covered $273.88
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-12-13
- Stop
- 2017-12-13
The parties
- Patient
- patient Talisha Torp
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1e315fb1-e786-fe8d-da0c-788831d48597