Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-05-27
- Stop
- 2019-05-27
The parties
- Patient
- patient Ernesto Francisco Mateo
- Provider
- provider Silas Conn
- Payer
- payer Humana
Record id
2212eeed-4106-183a-cbb6-1ae416df6075