Claim total
$196.77
base $93.39 · payer covered $157.41
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-02-12
- Stop
- 2021-02-12
The parties
- Patient
- patient Francine Ziemann
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
1f94a255-3b6e-f1dc-0363-eed871229de4