Claim total
$12,614.31
base $93.39 · payer covered $4,113.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-05-02
- Stop
- 2019-05-02
The parties
- Patient
- patient Dion Burt Yost
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
25494748-602d-a952-a2e4-734dbc18cd01