Claim total
$463.59
base $93.39 · payer covered $370.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-08-26
- Stop
- 2024-08-26
The parties
- Patient
- patient Demarcus Lou Glover
- Provider
- provider Jonas Pouros
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
3855869e-be01-bc52-d587-21d3772bd56a