Claim total
$293.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-03-29
- Stop
- 2019-03-29
The parties
- Patient
- patient Oscar Ricky Gerlach
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
2dbeb246-a994-b355-e929-0f133814b285