Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-06-26
- Stop
- 2019-06-26
The parties
- Patient
- patient Mikki Barbra Windler
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1cfadccd-2786-e3f9-1559-069258438fe3