Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-01-21
- Stop
- 2023-01-21
The parties
- Patient
- patient Rolf Charles O'Hara
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
275c1e1f-3a08-5d5e-d05d-01180b0faac0