Claim total
$9,758.99
base $93.39 · payer covered $9,708.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-02-12
- Stop
- 2018-02-12
The parties
- Patient
- patient Hermine Zoraida Turcotte
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
07a18d8f-61ab-0a69-b158-8e6fbf15c443