Claim total
$126.29
base $93.39 · payer covered $88.40
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-10-03
- Stop
- 2017-10-03
The parties
- Patient
- patient Roy Alfonzo Huel
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0b35d6cf-7bf9-dc99-412b-b834ed7b1055