Claim total
$6,613.28
base $93.39 · payer covered $678.34
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-09-17
- Stop
- 2018-09-17
The parties
- Patient
- patient Carley Vicenta Kohler
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
2f52c894-2678-f09a-c1ff-b0a787a460db