Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-08-31
- Stop
- 2020-08-31
The parties
- Patient
- patient Laurette Clelia Kohler
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
371c9f05-7f68-f06c-b56b-611c03fa0fa0