Claim total
$4,053.68
base $93.39 · payer covered $3,242.94
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-06-24
- Stop
- 2021-06-24
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Julia Dueñas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-a5c3-ead6423858cc