Claim total
$130.38
base $93.39 · payer covered $104.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-07-31
- Stop
- 2018-07-31
The parties
- Patient
- patient Bonita Lehner
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0955adaa-a76f-8e05-50e8-6bff4bf4da4c