Claim total
$5,414.69
base $93.39 · payer covered $5,379.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-11-01
- Stop
- 2016-11-01
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-ffdd-e3bd00d72c2c