Claim total
$301.41
base $93.39 · payer covered $301.41
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-05-12
- Stop
- 2018-05-12
The parties
- Patient
- patient Berta Florencia Colunga
- Provider
- provider Hassie Beer
- Payer
- payer Humana
Record id
1db706a4-42e5-bfbc-abf6-1bf1fddeb371