Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-08-07
- Stop
- 2018-08-07
The parties
- Patient
- patient Lindsay Lucio Treutel
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
14540641-70af-855c-bcd9-00df53b3b47c