Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-01-19
- Stop
- 2020-01-19
The parties
- Patient
- patient Laveta Francene Weissnat
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
240d2fda-d10d-b793-0ff6-b06230d4a50b