Claim total
$3,646.15
base $93.39 · payer covered $2,916.92
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-08-27
- Stop
- 2017-08-27
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Letisha Graham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-dd9b-068d9956fc6d