Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-07-18
- Stop
- 2024-07-18
The parties
- Patient
- patient Demetrius Kellye Brown
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
34d00a16-aef5-c007-4fa5-0ecf37cc76ea