Claim total
$372.67
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1978-09-19
- Stop
- 1978-09-19
The parties
- Patient
- patient Azalee Lura Koepp
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
20852a5c-dbef-c661-4494-f802e4d6743c