Claim total
$751.47
base $93.39 · payer covered $716.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-05
- Stop
- 2026-04-05
The parties
- Patient
- patient Adina Jerlene Baumbach
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
13decf1b-6d14-8aef-91b5-6f0e0e0df5e4