Claim total
$205.65
base $93.39 · payer covered $164.52
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-09-01
- Stop
- 2023-09-01
The parties
- Patient
- patient Roy Alfonzo Huel
- Provider
- provider Nanette Haley
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0b35d6cf-7bf9-dc99-25c6-a482b66a3bc4