Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-09-29
- Stop
- 2020-09-29
The parties
- Patient
- patient Abraham Mante
- Provider
- provider Trinity Mraz
- Payer
- payer Humana
Record id
1abdafbd-dcc9-f667-a2f0-d9e1270678e5