Claim total
$139.00
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-02-03
- Stop
- 2020-02-03
The parties
- Patient
- patient Cassi Blanche Davis
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1aae8a7a-42af-d31b-a838-15306ea7af00