Claim total
$170.80
base $93.39 · payer covered $170.80
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2008-05-31
- Stop
- 2008-05-31
The parties
- Patient
- patient Agnes Dietrich
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
270ef1b8-bd71-e9bb-34c7-e5da8cde06e8