Claim total
$523.96
base $93.39 · payer covered $336.88
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1991-01-11
- Stop
- 1991-01-11
The parties
- Patient
- patient Kelly Carson Gutkowski
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
177a983f-792c-a950-498a-d2c59228a88a