Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-12-24
- Stop
- 2021-12-24
The parties
- Patient
- patient Kandice Mindy Bernhard
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
32a05c09-9c38-f562-5c71-b0ac0529ea0c