Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-02-09
- Stop
- 2024-02-09
The parties
- Patient
- patient Matthew Boris Donnelly
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
38ed01b8-c3a9-7dc8-2356-78ac4a5b0b88