Claim total
$4,683.05
base $93.39 · payer covered $3,746.44
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-10-31
- Stop
- 2024-10-31
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-6321-7d3ed6a9b29c