Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-01-29
- Stop
- 2018-01-29
The parties
- Patient
- patient Luana Ilana Effertz
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
086bd61a-213a-915b-eebe-9f23bc6d6afc