Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-11-30
- Stop
- 2019-11-30
The parties
- Patient
- patient Pearlie Connelly
- Provider
- provider Ian Ryan
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
14b33bde-d51f-db74-87f5-593c1d364c42