Claim total
$2,601.09
base $93.39 · payer covered $2,551.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-07-23
- Stop
- 2022-07-23
The parties
- Patient
- patient Shea Sudie Konopelski
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
3566c91d-8b1c-413e-bf0b-f054050016e7