Claim total
$3,223.62
base $93.39 · payer covered $2,547.20
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-01-18
- Stop
- 2020-01-18
The parties
- Patient
- patient Markita Hahn
- Provider
- provider Wes Jast
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
073a6492-3457-ad14-c726-52f7c441f840