Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-12-28
- Stop
- 2015-12-28
The parties
- Patient
- patient Zetta Akilah Padberg
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
1a44470c-63f0-5269-d00d-5a407e99146b