Claim total
$197.60
base $93.39 · payer covered $113.23
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-12-21
- Stop
- 2025-12-21
The parties
- Patient
- patient Timoteo Cristian Barreto
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
26456d5f-6355-f346-425c-3d15a4ada7bf