Claim total
$159.83
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-01-17
- Stop
- 2025-01-17
The parties
- Patient
- patient Garrett Lon Kertzmann
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
0866e065-67e0-4dd0-ac78-cde13a06adfe