Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-04-26
- Stop
- 2020-04-26
The parties
- Patient
- patient Cleo Miller
- Provider
- provider Michael Dibbert
- Payer
- payer Humana
Record id
23cdbaf0-3d27-1017-f3fe-f2033d6d39d0