Claim total
$2,601.09
base $93.39 · payer covered $1,668.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-09-17
- Stop
- 2019-09-17
The parties
- Patient
- patient Roy Alfonzo Huel
- Provider
- provider Nanette Haley
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0b35d6cf-7bf9-dc99-3ba7-443a5d92fcda