Claim total
$133.07
base $93.39 · payer covered $106.45
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-02-27
- Stop
- 2023-02-27
The parties
- Patient
- patient Raquel Mimi Maggio
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
37f675b1-f539-0d89-f0b6-0edcdeea1e54