Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-07-12
- Stop
- 2020-07-12
The parties
- Patient
- patient Ashly Leighann Feest
- Provider
- provider Byron Gerhold
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
38cad737-c721-1ba3-6b18-92f5bb2e7f82