Claim total
$559.41
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-07-25
- Stop
- 2019-07-25
The parties
- Patient
- patient Caryl Tomiko Haag
- Provider
- provider Malena Wilderman
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
39c1e8cc-e1f0-b755-128c-e0dc9daf6e3f