Claim total
$704.48
base $93.39 · payer covered $563.58
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2012-06-30
- Stop
- 2012-06-30
The parties
- Patient
- patient Reynaldo Felton Labadie
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
20faeff5-5a0e-7753-2777-af7d606924d8