Claim total
$3,964.37
base $93.39 · payer covered $2,107.83
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-07-07
- Stop
- 2024-07-07
The parties
- Patient
- patient Randolph Hermiston
- Provider
- provider Viviana Aufderhar
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
163a8848-d657-cecd-3557-d948cfe78de5