Claim total
$751.47
base $93.39 · payer covered $751.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-13
- Stop
- 2026-05-13
The parties
- Patient
- patient Athena Oberbrunner
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
2133cc41-d2d7-9f54-70d0-7bade5d1811e