Claim total
$10,124.19
base $93.39 · payer covered $7,011.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-01-23
- Stop
- 2023-01-23
The parties
- Patient
- patient Murray Renaldo Wunsch
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
15869076-b3f1-fb35-8b54-a95eb86d3e38