Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 2026-01-02
- Stop
- 2026-01-02
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Simon Tremblay
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-32e3-a3400c5a330f