Claim total
$736.94
base $93.39 · payer covered $589.55
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-10
- Stop
- 2023-11-10
The parties
- Patient
- patient Ardelle Ermelinda Kirlin
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
2a3c7e9c-8304-77fc-7c6d-fd42ca1c01c2