Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-02-13
- Stop
- 2018-02-13
The parties
- Patient
- patient Hilario Thad Orn
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
27964ba9-ad2a-94be-c0a7-9fc6d508a557