Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-10-24
- Stop
- 2017-10-24
The parties
- Patient
- patient Hyacinth Nida Walter
- Provider
- provider Richard Ledner
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
319b8f7c-9751-3ab0-3066-e800dbe1a35f