Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-11-19
- Stop
- 2024-11-19
The parties
- Patient
- patient Cletus Erin Macejkovic
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
06b69cf7-c26b-5083-5427-46a6062ecbe9