Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-09-24
- Stop
- 2016-09-24
The parties
- Patient
- patient Susann Ayana Armstrong
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
35733f82-dba4-4fce-801b-9ac2ee2c7697