Claim total
$10,124.19
base $93.39 · payer covered $4,030.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-04-23
- Stop
- 2023-04-23
The parties
- Patient
- patient Shery Witting
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
11fd5a97-02b2-f430-51c4-1e187fe4452e