Claim total
$147.42
base $93.39 · payer covered $97.42
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-02-14
- Stop
- 2023-02-14
The parties
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0f8011da-3f5b-ae5a-4052-6a4ba97510e0