Claim total
$4,094.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-09-22
- Stop
- 2022-09-22
The parties
- Patient
- patient Dante Turcotte
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
34c33b47-6625-93f3-3883-47d73cc12dc0