Claim total
$157.11
base $93.83 · payer covered $122.11
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 2000-06-20
- Stop
- 2000-06-20
The parties
- Provider
- provider Wesley Nader
- Payer
- payer Dual Eligible
Record id
0126321a-a5af-784d-f28a-b35142dd645a