Claim total
$3,342.79
base $93.39 · payer covered $1,211.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-07-05
- Stop
- 2025-07-05
The parties
- Patient
- patient Emmitt Pete Wunsch
- Provider
- provider Trinity Mraz
- Payer
- payer Humana
Record id
1ef61da8-df8d-34a0-9fe0-b516bb844b05