Claim total
$614.91
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-03-30
- Stop
- 2025-03-30
The parties
- Patient
- patient Ileen Lynch
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
0fba3048-3341-057b-0771-ed6303e00272