Claim total
$93.39
base $93.39 · payer covered $69.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-29
- Stop
- 2017-09-29
The parties
- Patient
- patient Yung Keitha Mann
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
21d55a0e-d815-8203-e24f-564da9a7234c