Claim total
$2,601.09
base $93.39 · payer covered $1,560.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-11-11
- Stop
- 2018-11-11
The parties
- Patient
- patient Clara Rosalia Cantú
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0bbd45c6-8916-cb4f-c95b-3779372a2a39