Claim total
$131.93
base $93.39 · payer covered $81.93
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1926-08-24
- Stop
- 1926-08-24
The parties
- Patient
- patient Marline Leuschke
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
2613815e-f9be-3eb1-ec17-5142661d0e04