Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-11-09
- Stop
- 2024-11-09
The parties
- Patient
- patient Eleonora Elfriede Johns
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
059d8239-ee62-6881-c5f6-73eb2a3dead5