Claim total
$2,601.09
base $93.39 · payer covered $2,566.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-12-11
- Stop
- 2020-12-11
The parties
- Patient
- patient Keith Marquis Ritchie
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
30a39716-1c18-1f3a-0519-abbc592c23fa