Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2009-03-13
- Stop
- 2009-03-13
The parties
- Patient
- patient Zachery Palmer Walter
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
08dc4a70-d264-2427-4a47-d36c885d0a5d