Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-04-16
- Stop
- 2021-04-16
The parties
- Patient
- patient Berry Cody Steuber
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2bbd0974-5a0c-5ea0-3cff-a1e2d8cfd926