Claim total
$10,124.19
base $93.39 · payer covered $4,108.12
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-06-25
- Stop
- 2025-06-25
The parties
- Patient
- patient Zelda Terrilyn Armstrong
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
Record id
2d102be7-4a6a-7d62-512c-f027a3089927