Claim total
$93.39
base $93.39 · payer covered $56.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-04
- Stop
- 2022-04-04
The parties
- Patient
- patient Yolanda Luisa Carrion
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
28158b6b-6270-9db1-4ed6-42d4a6d7f9b6