Claim total
$2,601.09
base $93.39 · payer covered $2,551.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-02-08
- Stop
- 2018-02-08
The parties
- Patient
- patient Eulalia O'Hara
- Provider
- provider Ian Ryan
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
1efa994e-cd9c-e6f8-9ea4-5b9741f434a6