Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-06-05
- Stop
- 2019-06-05
The parties
- Patient
- patient Efrain Joel Medhurst
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2d678152-b1a4-c708-3e57-8358253e31e1