Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-24
- Stop
- 2022-04-24
The parties
- Patient
- patient Thaddeus Devin Rowe
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
34699965-0b0d-9c62-e3c0-0d6d887be758