Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2014-05-23
- Stop
- 2014-05-23
The parties
- Patient
- patient Ivory Veum
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0c151491-ce0b-ae3c-43b0-cae5d7d977e8