Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-10
- Stop
- 2017-09-10
The parties
- Patient
- patient Odelia Kari Feeney
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Humana
Record id
25a3fade-a733-187e-8860-af935a014061