Claim total
$510.40
base $93.39 · payer covered $408.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-03-18
- Stop
- 2019-03-18
The parties
- Patient
- patient Logan Stuart Hettinger
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2f6f1d59-7737-7d41-d62d-5c8de88e853d