Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-03-16
- Stop
- 2021-03-16
The parties
- Patient
- patient Adriana Ramona Muro
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
2c023a36-c0d5-53e8-2a8a-ad4d513e15da