Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-09-22
- Stop
- 2016-09-22
The parties
- Patient
- patient Aron Jon Steuber
- Provider
- provider Greta Gutmann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0e80cbd8-3263-7fa4-e0a8-51edc47daaab