Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-09-09
- Stop
- 2024-09-09
The parties
- Patient
- patient Ruthie Cythia Collins
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1d22cf46-63f9-38bb-8963-08fe59fb16e6