Claim total
$473.53
base $93.39 · payer covered $423.53
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-04-19
- Stop
- 2023-04-19
The parties
- Patient
- patient Sherron Mohr
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0ceab98b-52e7-ab40-8b74-aaca7d4b8f72