Claim total
$222.94
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-01-09
- Stop
- 2023-01-09
The parties
- Patient
- patient Mary Jerrell Gerhold
- Provider
- provider Jo Stiedemann
- Payer
- payer Humana
Record id
1d5d376c-aeb6-f53a-b1e3-df83591217ce