Claim total
$165.56
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-11-19
- Stop
- 2018-11-19
The parties
- Patient
- patient Stephen Tyrone Stracke
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
289d9a59-53a2-19f3-f770-3b46722f0e52