Claim total
$447.06
base $93.39 · payer covered $397.06
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-12-14
- Stop
- 2019-12-14
The parties
- Patient
- patient Kareen Pfeffer
- Provider
- provider Jonas Pouros
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
14e28a38-73f9-f96b-0f8b-a1aa595f9c55