Claim total
$5,977.26
base $93.39 · payer covered $89.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-03-07
- Stop
- 2026-03-07
The parties
- Patient
- patient Rafael Adán Toro
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
1f4dcbd7-f664-bb6e-c0bc-6dd76ca8777e