Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-03-19
- Stop
- 2024-03-19
The parties
- Patient
- patient Concha Regan Kertzmann
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
08283bfc-d154-42bb-76d9-3436a9550254