Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-14
- Stop
- 2017-09-14
The parties
- Patient
- patient Logan Stuart Hettinger
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2f6f1d59-7737-7d41-33b1-e676b6d7d1ea