Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-03-02
- Stop
- 2023-03-02
The parties
- Patient
- patient Dung Roberta Murazik
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
0b232c0c-cf3d-90c4-4fb8-35e6284a8ec4