Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1978-09-23
- Stop
- 1978-09-23
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Hazel Effertz
- Payer
- payer Dual Eligible
Record id
04371635-b149-02a5-d04f-7b7fee4e362c