Claim total
$263.66
base $93.39 · payer covered $128.64
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2007-05-21
- Stop
- 2007-05-21
The parties
- Patient
- patient Vance Nick Hudson
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2d31b05f-e99a-3ac8-6077-06fe9afff23a