Claim total
$5,887.19
base $93.39 · payer covered $4,709.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-12-02
- Stop
- 2024-12-02
The parties
- Patient
- patient Saul Little
- Provider
- provider Katrina Romaguera
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0205c336-938f-d85a-1668-61a352e6f196