Claim total
$2,601.09
base $93.39 · payer covered $226.13
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-09-23
- Stop
- 2020-09-23
The parties
- Patient
- patient Chana Jung Kuhlman
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
0b9ae72a-4873-5d31-8039-c798557bff3a