Claim total
$126.29
base $93.39 · payer covered $126.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-05-10
- Stop
- 2021-05-10
The parties
- Patient
- patient Leif Darren West
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
04bc601b-5b17-3710-0e57-115b86a0713a