Claim total
$3,223.62
base $93.39 · payer covered $2,012.66
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-09-20
- Stop
- 2015-09-20
The parties
- Patient
- patient Antony Darrel Hand
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
1bf6aaa3-13d1-d98a-bddd-4a4592fb9172