Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 394701000
- Reason
- diagnosis concept Asthma195967001
- Start
- 2018-09-19
- Stop
- 2018-09-19
The parties
- Patient
- patient Augustus Rich Stark
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0239a00d-0894-874c-c6a0-2512d5e8f596