Claim total
$600.39
base $93.39 · payer covered $480.31
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-06-11
- Stop
- 2020-06-11
The parties
- Patient
- patient Dylan Mante
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
1d345bd8-58e2-79a2-bb35-f511c976dd8d