Claim total
$751.47
base $93.39 · payer covered $751.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-07-19
- Stop
- 2018-07-19
The parties
- Patient
- patient Jerome Kohler
- Provider
- provider Kim Lind
- Payer
- payer Humana
Record id
2feabf77-27d8-4e25-c915-b643d2bb2256