Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-04-29
- Stop
- 2020-04-29
The parties
- Patient
- patient Dong Jeromy Renner
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
33a6f1a7-d1b3-1369-2be2-ad5d7231c3d1