Claim total
$234.21
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-12-08
- Stop
- 2018-12-08
The parties
- Patient
- patient Deann Shawnee Hilll
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
290b32a5-c822-1cc3-c5e4-7595b0a92e66