Claim total
$516.65
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-08-15
- Stop
- 2017-08-15
The parties
- Patient
- patient Carley Vicenta Kohler
- Provider
- provider Luis Miguel Barajas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
2f52c894-2678-f09a-583f-0101fd40b868