Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-11-12
- Stop
- 2024-11-12
The parties
- Patient
- patient Brandon Harris Stehr
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Anthem
Record id
383d73cc-4c60-5e13-8994-a8ae26bc1829