Claim total
$589.51
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-06-06
- Stop
- 2026-06-06
The parties
- Provider
- provider Liz Kozey
- Payer
- payer Humana
Record id
19bd99e5-45d6-8adb-1412-f10a27492b17