Claim total
$438.50
base $93.39 · payer covered $242.48
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-07-27
- Stop
- 2019-07-27
The parties
- Patient
- patient Lon Jenkins
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
21be898a-3bf9-dfe6-742d-9df43d8996d2