Claim total
$544.33
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-08-24
- Stop
- 2025-08-24
The parties
- Patient
- patient Domenic Ivory Bartoletti
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
2caefad2-5d5c-2c45-2aa9-5f4c087edcd2