Claim total
$5,573.23
base $93.39 · payer covered $5,538.23
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-10-15
- Stop
- 2020-10-15
The parties
- Patient
- patient Joe Prosacco
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
287ddddc-e201-5785-eb94-43a7a23b1c09