Claim total
$604.12
base $93.39 · payer covered $393.16
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-16
- Stop
- 2021-10-16
The parties
- Patient
- patient Forrest Heath Bailey
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3595a261-a367-4bc4-fa8b-e952616b2f2d