Claim total
$314.12
base $93.39 · payer covered $251.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-06-23
- Stop
- 2024-06-23
The parties
- Patient
- patient Abbie Kulas
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
377e9575-a2e9-6ea3-e31f-85d4977a7fd6