Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-08-03
- Stop
- 2022-08-03
The parties
- Provider
- provider Marcus Douglas
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-231c-33de7962d1c6