Claim total
$439.78
base $93.39 · payer covered $351.82
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1988-10-26
- Stop
- 1988-10-26
The parties
- Patient
- patient Nevada Wonda Konopelski
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
31d69929-3dc2-161a-d6d1-9d83d5842494