Claim total
$232.97
base $93.39 · payer covered $186.37
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-04-22
- Stop
- 2017-04-22
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-1e97-dcee326f9fb3