Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1991-07-07
- Stop
- 1991-07-07
The parties
- Patient
- patient Brian Waldo Hettinger
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
1f852fca-7569-a697-d17b-99a6b404cdbf