Claim total
$2,601.09
base $93.39 · payer covered $2,532.33
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-10-25
- Stop
- 2024-10-25
The parties
- Patient
- patient Abdul Sammie Spencer
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
009b9fb1-8515-f33d-c508-84c39b0376fe