Claim total
$2,601.09
base $93.39 · payer covered $1,899.14
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-04-10
- Stop
- 2020-04-10
The parties
- Patient
- patient Tami Leontine Bosco
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
36ce1d89-ab2d-70ec-0867-07565ea8be80