Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-05-28
- Stop
- 2020-05-28
The parties
- Patient
- patient Susana Isabela Barrera
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
10d12be5-5bb3-6a02-311e-e2f6cb01ce95