Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-05-25
- Stop
- 2020-05-25
The parties
- Patient
- patient August Britt Ferry
- Provider
- provider Katrina Romaguera
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Humana
Record id
15242f90-b51f-fc64-b8bb-26e42d9f4c41