Claim total
$214.59
base $93.39 · payer covered $171.67
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-05-06
- Stop
- 2022-05-06
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-c0ac-38185f32ede5