Claim total
$159.49
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-06-12
- Stop
- 2025-06-12
The parties
- Patient
- patient Su Vernie Kuhlman
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
22fea05c-650a-321a-e618-424f3224c222