Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-28
- Stop
- 2016-10-28
The parties
- Patient
- patient Ebonie Harris
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2480865a-bd42-7445-d4e4-50312609865c