Claim total
$318.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-12-22
- Stop
- 2016-12-22
The parties
- Patient
- patient Alva Kassulke
- Provider
- provider Janette Fisher
- Payer
- payer Humana
Record id
25786c4a-d11b-b815-d480-04a11226260d