Claim total
$2,601.09
base $93.39 · payer covered $2,080.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-01-02
- Stop
- 2018-01-02
The parties
- Patient
- patient Mignon Janay Johnson
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
0a37331a-7bd1-f3a9-76f7-25f4760fe72d