Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-10-06
- Stop
- 2017-10-06
The parties
- Patient
- patient Earle Fritsch
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
237ceca7-23fb-5ef0-49b4-1b2e88f324eb