Claim total
$521.58
base $93.39 · payer covered $417.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2013-07-10
- Stop
- 2013-07-10
The parties
- Patient
- patient Asa Frederic Terry
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
0cd4c735-0aa4-b0ae-4906-39a90297427c