Claim total
$513.41
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-02-01
- Stop
- 2016-02-01
The parties
- Patient
- patient Jaime Howard Spinka
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
07e284d3-e639-290a-7a7b-3ed29f685c3d