Claim total
$235.00
base $93.39 · payer covered $188.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-12-31
- Stop
- 2021-12-31
The parties
- Patient
- patient Marna Francis Kuhlman
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
1b79641c-a011-48b3-3f89-319af9139e6f