Claim total
$155.87
base $93.39 · payer covered $155.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-02-20
- Stop
- 2015-02-20
The parties
- Patient
- patient Felicita Tamatha Olson
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
1163dae7-aced-cce5-4795-e33c61c9a498