Claim total
$146.44
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-01-24
- Stop
- 2019-01-24
The parties
- Patient
- patient Jerome Kohler
- Provider
- provider Rosio Gleason
- Payer
- payer Humana
Record id
2feabf77-27d8-4e25-d321-a97b19fcb4db