Claim total
$236.40
base $93.39 · payer covered $236.40
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-15
- Stop
- 2022-04-15
The parties
- Patient
- patient Cherelle Morar
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
33009975-b2c5-da4c-686a-75888d864bbd