Claim total
$182.13
base $93.39 · payer covered $132.13
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-04-25
- Stop
- 2023-04-25
The parties
- Patient
- patient Arlie Dee Shields
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
25630705-6421-63dd-a527-17ccca0798bb