Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2003-10-26
- Stop
- 2003-10-26
The parties
- Patient
- patient Luba Aurora Lind
- Provider
- provider Trinity Mraz
- Payer
- payer Humana
Record id
3ac473f7-cf22-bcad-379b-fb01c9772fec