Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-02-17
- Stop
- 2016-02-17
The parties
- Patient
- patient Velvet Elease Walter
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
06af16c1-6409-09e5-61c3-6c503e7c168b