Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-13
- Stop
- 2023-11-13
The parties
- Patient
- patient Zenia Tegan Nolan
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0f1bcaa4-de3d-14e5-1b35-4e16e3491ed3