Claim total
$336.15
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-03
- Stop
- 2017-09-03
The parties
- Patient
- patient Twila Sona Willms
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
33f82e9f-b4fc-f845-5892-f046a9ad2999