Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-24
- Stop
- 2016-10-24
The parties
- Patient
- patient Hank Alphonso Abbott
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
1cddc6d8-aca9-157f-ff31-00c287b59b5d