Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1973-03-02
- Stop
- 1973-03-02
The parties
- Patient
- patient Ardith Jene Osinski
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
39d634ce-fc5f-418c-3454-c4cc02a07def