Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-05-02
- Stop
- 2019-05-02
The parties
- Patient
- patient Kanesha Spring Cummerata
- Provider
- provider Burton O'Conner
- Payer
- payer Humana
Record id
0d968006-46f3-aae8-0c32-8122e06bd911