Claim total
$329.06
base $93.39 · payer covered $263.25
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-02-29
- Stop
- 2020-02-29
The parties
- Patient
- patient Synthia Grady
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
33ff0b1a-8ac4-7085-0422-5552cdb17b96