Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2013-10-09
- Stop
- 2013-10-09
The parties
- Patient
- patient Yun Herminia Barton
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
100eef27-6b16-ad8b-624d-a240f1dcd9b9