Claim total
$728.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-08-18
- Stop
- 2023-08-18
The parties
- Patient
- patient Berta Florencia Colunga
- Provider
- provider Michael Dibbert
- Payer
- payer Humana
Record id
1db706a4-42e5-bfbc-8dd3-b9d5581e1db6