Claim total
$670.07
base $93.39 · payer covered $536.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-06-10
- Stop
- 2020-06-10
The parties
- Patient
- patient Marna Francis Kuhlman
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
1b79641c-a011-48b3-c008-32000ee09089