Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-12-17
- Stop
- 2015-12-17
The parties
- Patient
- patient Lonnie Larkin
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Anthem
Record id
23b2f8e1-4868-fc1e-79b4-da7da11f21dd