Claim total
$374.72
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-08-01
- Stop
- 2026-08-01
The parties
- Patient
- patient Hilario Cummings
- Provider
- provider Janette Fisher
- Payer
- payer Humana
Record id
33fa4f73-1ac9-30f9-7c4e-a8b1611d25fa