Claim total
$10,124.19
base $93.39 · payer covered $8,099.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-02-05
- Stop
- 2019-02-05
The parties
- Patient
- patient Lezlie Torp
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
109e9a50-b505-db69-ffcb-153b59f92e70