Claim total
$10,124.19
base $93.39 · payer covered $4,116.34
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-08-11
- Stop
- 2019-08-11
The parties
- Patient
- patient Will Gerard Wuckert
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
2174d341-9985-6400-4908-4bc26e67d7ac