Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-12-30
- Stop
- 2022-12-30
The parties
- Patient
- patient Dionne Clarine Goyette
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
30b625d5-2a32-ead8-0c66-b4f6d0371ebd