Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2013-07-18
- Stop
- 2013-07-18
The parties
- Patient
- patient Yvonne Ondricka
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2651fa10-73ce-522f-76d0-e70aa5e2912d