Claim total
$383.79
base $93.39 · payer covered $348.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-10-09
- Stop
- 2025-10-09
The parties
- Patient
- patient Ilse Tynisha Feest
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
06d55723-a17e-fb1b-2ea2-a2ba9171df53