Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 394701000
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2024-07-10
- Stop
- 2024-07-10
The parties
- Patient
- patient Seymour Lyle Kuhlman
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
000cb105-0f6a-e089-4c2b-38b99a18493c