Claim total
$211.58
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-06-07
- Stop
- 2020-06-07
The parties
- Patient
- patient Sabra Hermann
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
20526ee7-17ba-b863-bc52-215e4a501752