Claim total
$333.03
base $93.39 · payer covered $333.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-08-17
- Stop
- 2018-08-17
The parties
- Patient
- patient Yuko Omega Hettinger
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
2f7d8446-1bbf-083f-872c-6c7819cb1560