Claim total
$342.24
base $93.39 · payer covered $239.84
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-02-02
- Stop
- 2022-02-02
The parties
- Patient
- patient Hans Austin Skiles
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
2a801a9c-9341-ed04-e45a-a948974dda64