Claim total
$360.00
base $93.39 · payer covered $288.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-19
- Stop
- 2021-10-19
The parties
- Patient
- patient Hyacinth Nida Walter
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
319b8f7c-9751-3ab0-9840-678ee6e39495