Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-11-10
- Stop
- 2016-11-10
The parties
- Patient
- patient Santiago Víctor Cavazos
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
157c2e9c-d23e-1a11-3569-93aa6ce8adf2