Claim total
$648.85
base $93.39 · payer covered $519.08
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-02-29
- Stop
- 2020-02-29
The parties
- Patient
- patient Nieves Runolfsson
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
28ec1e9a-2fa3-fde4-e91e-91cc8604c9da