Claim total
$2,601.09
base $93.39 · payer covered $992.55
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-06-27
- Stop
- 2021-06-27
The parties
- Patient
- patient Janna Etta Sipes
- Provider
- provider Ian Ryan
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
21b17bd5-a058-5b07-bdf1-e8f0b9bb6daf