Claim total
$10,124.19
base $93.39 · payer covered $2,861.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-10-20
- Stop
- 2025-10-20
The parties
- Patient
- patient Amal Adrianna Macejkovic
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
1cccf0c5-760b-d19d-cc17-54b55381dfe8