Claim total
$189.19
base $93.39 · payer covered $151.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-11-02
- Stop
- 2021-11-02
The parties
- Patient
- patient Celeste Asha Weimann
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Anthem
Record id
289c69a4-077d-4dc6-0e5e-210b301eac1a