Claim total
$338.48
base $93.39 · payer covered $270.78
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1996-08-16
- Stop
- 1996-08-16
The parties
- Patient
- patient Carylon Erlinda Bergnaum
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0aff79a2-450d-907e-2f41-5b81a9ecc9fb