Claim total
$10,124.18
base $93.39 · payer covered $8,099.34
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-09-29
- Stop
- 2021-09-29
The parties
- Patient
- patient Margo Jene Beier
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
2acc43d9-4ea6-321e-64c5-9c5d72d34b08