Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1994-04-28
- Stop
- 1994-04-28
The parties
- Patient
- patient Nevada Wonda Konopelski
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
31d69929-3dc2-161a-d5aa-99884f0bb9ba