Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-04-21
- Stop
- 2024-04-21
The parties
- Patient
- patient Dong Jeromy Renner
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
33a6f1a7-d1b3-1369-a9dc-d4b6d26baca7