Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-05-23
- Stop
- 2017-05-24
The parties
- Patient
- patient Garland Tuan Powlowski
- Provider
- provider Janette Fisher
- Payer
- payer Humana
Record id
09bd26f8-2032-15c6-b3ef-745be29ec9ff