Claim total
$9,946.95
base $93.39 · payer covered $7,957.56
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-09-18
- Stop
- 2019-09-18
The parties
- Patient
- patient Esther Kuhic
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
31ae0161-174f-fcf1-7d72-617afeed3411