Claim total
$4,099.13
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-01-09
- Stop
- 2019-01-09
The parties
- Patient
- patient Florencio Hegmann
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
19822a49-d259-f219-c674-9ce4d3b13f5a