Claim total
$149.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-05
- Stop
- 2026-05-05
The parties
- Patient
- patient Milford Alfonso Thiel
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
1f816600-b043-d586-6177-9558d61de1b8