Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-08-04
- Stop
- 2020-08-04
The parties
- Patient
- patient Deann Shawnee Hilll
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
290b32a5-c822-1cc3-9841-60d3e9c540b9