Claim total
$461.27
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-03-03
- Stop
- 2015-03-03
The parties
- Patient
- patient Long Everette O'Connell
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2b42a968-c9dc-d930-b20c-82060f749ef3