Claim total
$576.39
base $93.39 · payer covered $448.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-12-06
- Stop
- 2020-12-06
The parties
- Patient
- patient Terra Kessler
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
158f97ce-e510-b3df-5e01-d7054c2af488