Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-01-07
- Stop
- 2022-01-07
The parties
- Patient
- patient Shane Ulysses Corwin
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
10fe28ac-fc4b-0361-9fcd-84ba55e3e1a9