Claim total
$751.47
base $93.39 · payer covered $751.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-08-16
- Stop
- 2022-08-16
The parties
- Provider
- provider Silas Conn
- Payer
- payer Humana
Record id
19bd99e5-45d6-8adb-5fdb-ae3a68aecf7f