Claim total
$215.33
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-14
- Stop
- 2026-04-14
The parties
- Patient
- patient Saul Murphy
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
3717c133-c036-a9db-f964-574e2290f548