Claim total
$129.71
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-07-15
- Stop
- 2023-07-15
The parties
- Patient
- patient Graham Desmond Jones
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
210e7241-3e4f-dfd5-8c41-6c9ef4eb1ff5