Claim total
$398.80
base $93.39 · payer covered $398.80
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-08-01
- Stop
- 2026-08-01
The parties
- Patient
- patient Marylou Abernathy
- Provider
- provider Trinity Mraz
- Payer
- payer Humana
Record id
364c439b-3ca4-d8e6-3c6c-da72f7a8cc98