Claim total
$247.07
base $93.39 · payer covered $197.07
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-03-29
- Stop
- 2020-03-29
The parties
- Patient
- patient Evan Mario Spinka
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
22ab5e98-47e0-5217-e9d8-c16c0bcdd7ea