Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-08-23
- Stop
- 2015-08-23
The parties
- Patient
- patient Edie Victoria Zulauf
- Provider
- provider Janette Fisher
- Payer
- payer Humana
Record id
2fbaa88f-9da9-5871-9b33-cd588b1e1b12