Claim total
$268.00
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-03-20
- Stop
- 2024-03-20
The parties
- Patient
- patient Elisha Bayer
- Provider
- provider Kelvin Reichel
- Payer
- payer Humana
Record id
16a344fc-0430-e1d6-bf47-a341465d540f