Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-12-30
- Stop
- 2025-12-30
The parties
- Patient
- patient Shandra Rosalina Wyman
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
32f5456f-364a-5a66-1e81-7e23a6d1f03d