Claim total
$434.34
base $93.39 · payer covered $347.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-09-18
- Stop
- 2021-09-18
The parties
- Patient
- patient Alyson Trula Bernier
- Provider
- provider Nanette Haley
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
25c888b3-d617-8ac8-9d8e-1977de48b718