Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-04
- Stop
- 2017-09-04
The parties
- Patient
- patient Anne Schultz
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
36a09f46-fea7-33ca-44f9-26a6e2362942