Claim total
$3,406.31
base $93.39 · payer covered $3,356.31
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-03-23
- Stop
- 2026-03-23
The parties
- Patient
- patient Paris Trey Walter
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
37673647-f996-00e9-65cf-978931be83f0