Claim total
$236.65
base $93.39 · payer covered $186.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-09-25
- Stop
- 2022-09-25
The parties
- Patient
- patient Randell Irvin Gutmann
- Provider
- provider Nanette Haley
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
08da25e3-3ae1-e835-8e63-ecaa521b180c