Claim total
$430.48
base $93.39 · payer covered $252.81
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-03-25
- Stop
- 2023-03-25
The parties
- Patient
- patient Minnie Glenna Hilpert
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
164073e3-ecac-90a2-55f2-347743227719