Claim total
$385.70
base $93.39 · payer covered $335.70
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-03-17
- Stop
- 2018-03-17
The parties
- Patient
- patient Digna Merlyn Schaden
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
27115ae7-bc8e-4abc-63fb-09208c062af7