Claim total
$188.89
base $93.39 · payer covered $113.33
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-04-29
- Stop
- 2025-04-29
The parties
- Patient
- patient Garland Tuan Powlowski
- Provider
- provider Adrienne Hills
- Payer
- payer Humana
Record id
09bd26f8-2032-15c6-188a-209d159bf700