Claim total
$3,296.70
base $93.39 · payer covered $3,261.70
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-02-15
- Stop
- 2018-02-15
The parties
- Patient
- patient Roderick Carter
- Provider
- provider Viviana Aufderhar
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
08fee322-deac-8f86-e25a-d88c7c8ad88e