Claim total
$352.39
base $93.39 · payer covered $281.91
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-08-07
- Stop
- 2019-08-07
The parties
- Patient
- patient Markita Hahn
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
073a6492-3457-ad14-2d5b-c8cbb94c773e