Claim total
$387.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-02-28
- Stop
- 2023-02-28
The parties
- Patient
- patient Jarrod Rex Bayer
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
2c35b5f8-b221-9e42-9047-98453af65df0