Claim total
$326.20
base $93.39 · payer covered $291.20
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-09-19
- Stop
- 2024-09-19
The parties
- Patient
- patient Adina Jerlene Baumbach
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
13decf1b-6d14-8aef-3e45-aa684a52c611