Claim total
$148.05
base $93.39 · payer covered $118.44
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-11
- Stop
- 2016-10-11
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-fef9-ac7c713fb382