Claim total
$5,134.41
base $93.39 · payer covered $1,081.63
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-07-17
- Stop
- 2020-07-17
The parties
- Patient
- patient Rachele Wanita Wilderman
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
32599149-c8d8-a664-51ed-80c55645232d