Claim total
$700.16
base $93.39 · payer covered $560.13
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-07-04
- Stop
- 2021-07-04
The parties
- Patient
- patient Eda So Mante
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
2a79084b-df5c-41f9-382b-73233fe3866f