Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-10-12
- Stop
- 2018-10-12
The parties
- Patient
- patient Gabrielle Nidia Heller
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
12861e53-c53d-3b3d-62a6-f4e4535d5864