Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2017-12-26
- Stop
- 2017-12-26
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
00d351d5-8ef1-f44d-5d8a-acc3e9ed045c