Claim total
$5,612.93
base $93.39 · payer covered $5,562.93
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-08-18
- Stop
- 2020-08-18
The parties
- Patient
- patient Hildred Melda Prohaska
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0be9d3c3-0d2e-b0d7-124c-769df31d611d