Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-07-31
- Stop
- 2018-07-31
The parties
- Patient
- patient Vince Jude Tremblay
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
0f00a4c3-f6b5-b50e-ac99-83e725d4b9a6