Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-01-09
- Stop
- 2019-01-09
The parties
- Patient
- patient Valentine Samuel Gleason
- Provider
- provider Trinity Mraz
- Payer
- payer Humana
Record id
29386bfb-6a3a-9735-7d2f-aa47c1f1fe31