Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-09-16
- Stop
- 2015-09-16
The parties
- Patient
- patient Ebonie Harris
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2480865a-bd42-7445-3a79-23529eda98fc