Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1978-09-02
- Stop
- 1978-09-02
The parties
- Patient
- patient Alan Danny White
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0d37fa46-9809-7e01-c932-fa530dbbbc49