Claim total
$301.66
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-06-23
- Stop
- 2026-06-23
The parties
- Patient
- patient Vince Jude Tremblay
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
0f00a4c3-f6b5-b50e-dfc7-713510c07d3e