Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-06-04
- Stop
- 2024-06-04
The parties
- Patient
- patient Dorsey Kuhic
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Anthem
Record id
3ac60cc0-6d0a-3f39-108e-c3c67f6fb8b2