Claim total
$447.37
base $93.39 · payer covered $357.89
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-22
- Stop
- 2021-10-22
The parties
- Patient
- patient Bob Bobbie Gutmann
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
305f3cca-8b85-16ec-fa52-79cabf1997cf