Claim total
$8,507.58
base $93.39 · payer covered $4,061.54
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-05-11
- Stop
- 2022-05-11
The parties
- Patient
- patient Erika Noriko Auer
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
0e32386c-c04d-ce35-4a15-dc4c80a51b8e