Claim total
$369.75
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-07-29
- Stop
- 2019-07-29
The parties
- Patient
- patient Christiane Wolf
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
30067385-ceef-0aa2-4512-0b0bd29f417c