Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-06-29
- Stop
- 2022-06-29
The parties
- Patient
- patient Arden Valentin Ruecker
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
0ee7ac9f-7451-75a1-7ffb-b31f2ca0d90d