Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1955-11-27
- Stop
- 1955-11-27
The parties
- Patient
- patient Toshiko Sybil King
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
106257f3-21d9-7a09-b417-4cdf44d57366