Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-14
- Stop
- 2021-10-14
The parties
- Patient
- patient Su Keitha Borer
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2aa3a0d1-3b22-078a-c0a5-c0fc6f7495d1