Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-04-07
- Stop
- 2025-04-07
The parties
- Patient
- patient Rachele Wanita Wilderman
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
32599149-c8d8-a664-0877-a160bcaa0422