Claim total
$695.51
base $93.39 · payer covered $556.41
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-09-13
- Stop
- 2024-09-13
The parties
- Patient
- patient Ezequiel Eldridge Kunde
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
13200325-9998-abe8-2f1b-ff5dd6649b10