Claim total
$3,810.02
base $93.39 · payer covered $2,605.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-07-09
- Stop
- 2023-07-09
The parties
- Patient
- patient Xiomara Morar
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
1a249129-b6ba-5fad-fc8e-69ca0259a3d4