Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1992-09-20
- Stop
- 1992-09-20
The parties
- Patient
- patient Erin Eugene Feeney
- Provider
- provider Hazel Effertz
- Payer
- payer Humana
Record id
2062844a-692f-af63-225f-0754f2fada2e