Claim total
$5,498.85
base $93.39 · payer covered $1,968.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-01-14
- Stop
- 2023-01-14
The parties
- Patient
- patient Viki Nicki Pfannerstill
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
378f5f5f-1bcf-284d-3964-4d5309fbe762