Claim total
$341.70
base $93.39 · payer covered $306.70
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-09-10
- Stop
- 2026-09-10
The parties
- Patient
- patient Joe Prosacco
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
287ddddc-e201-5785-b187-7a5d4689b9b1