Claim total
$177.65
base $93.39 · payer covered $127.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-03-31
- Stop
- 2022-03-31
The parties
- Patient
- patient Yvone Felicitas Kihn
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
10fd7415-d729-ef2e-8d70-48f875813067