Claim total
$4,010.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-12-22
- Stop
- 2023-12-22
The parties
- Patient
- patient Jaime Howard Spinka
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
07e284d3-e639-290a-c4a0-f02bbd338673