Claim total
$679.44
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1937-01-19
- Stop
- 1937-01-19
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Michael Dibbert
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-0c1c-02fba7a5bd07