Claim total
$126.29
base $93.39 · payer covered $101.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-11-30
- Stop
- 2016-11-30
The parties
- Patient
- patient Curtis Aubrey Howe
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
10d92ea2-fcd5-f0bc-6690-98b15753ce0b