Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-07-12
- Stop
- 2026-07-12
The parties
- Patient
- patient Jake Nolan Wisozk
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Humana
Record id
201320b1-6cb6-72de-2a96-451b06702aab