Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-03-14
- Stop
- 2020-03-14
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Jo Stiedemann
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-9b5a-4daf14939b2c