Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-07-25
- Stop
- 2021-07-25
The parties
- Patient
- patient Abraham Mante
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
1abdafbd-dcc9-f667-a0d0-1a76f0f7f227