Claim total
$336.34
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-11-01
- Stop
- 2015-11-01
The parties
- Patient
- patient Grant Earl Fay
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
1db3f28a-a567-c10e-177c-9f9914b80512