Claim total
$5,966.42
base $93.39 · payer covered $5,966.42
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-02-23
- Stop
- 2025-02-23
The parties
- Patient
- patient Lourdes Ramona Alanis
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
3b355944-8d5f-fdc4-0608-7359bf103e89