Claim total
$160.68
base $93.39 · payer covered $90.82
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-29
- Stop
- 2017-09-29
The parties
- Patient
- patient Margo Green
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
029fe5e1-f60c-f237-b687-c640ea1ee624