Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-09
- Stop
- 2026-04-09
The parties
- Patient
- patient Jerry Irving Moore
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
223c9947-dee7-4a0b-7e61-2bfdb2cf1a49