Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-12-22
- Stop
- 2019-12-22
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Viviana Aufderhar
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-c6da-bfdb7867411c