Claim total
$380.41
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-05-16
- Stop
- 2016-05-16
The parties
- Patient
- patient Daren Lino Reinger
- Provider
- provider Rosio Gleason
- Payer
- payer Humana
Record id
22a9563f-1a38-933c-473e-5d07530b2a44