Claim total
$338.47
base $93.39 · payer covered $270.77
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-12-10
- Stop
- 2022-12-10
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-f4d4-a83b809733d4