Claim total
$441.98
base $93.39 · payer covered $353.58
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-05-09
- Stop
- 2016-05-09
The parties
- Patient
- patient Logan Stuart Hettinger
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2f6f1d59-7737-7d41-6501-9229d0001481