Claim total
$229.16
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-02-15
- Stop
- 2020-02-15
The parties
- Patient
- patient Kent Ethan Yundt
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
27b3914f-dfc0-a4bc-ef9c-49b3549eb6dd