Claim total
$2,601.09
base $93.39 · payer covered $2,080.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-18
- Stop
- 2026-04-18
The parties
- Patient
- patient Lenard Sherwood Marvin
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
17c8cd6c-6949-5e5b-8443-95d6fd0c3e05