Claim total
$386.56
base $93.39 · payer covered $336.56
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-05-02
- Stop
- 2019-05-02
The parties
- Patient
- patient Benito Delao
- Provider
- provider Madalyn Konopelski
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
30bb6e62-6649-f6c6-4158-ece35e9403ca