Claim total
$305.07
base $93.39 · payer covered $244.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-06-16
- Stop
- 2025-06-16
The parties
- Patient
- patient Latesha Olimpia Price
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
336a367a-9ecd-f668-ed7f-93249f3c12f4