Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-02
- Stop
- 2023-11-02
The parties
- Patient
- patient Roscoe Garrett Towne
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
19f34a84-17cb-b239-5519-ef60c7c9c9e0