Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-10-30
- Stop
- 2018-10-30
The parties
- Patient
- patient Lucretia Phillis Crooks
- Provider
- provider Rudolf Wolff
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
351eb513-0da1-4f70-f5e4-d1600b92c6f8