Claim total
$448.00
base $93.39 · payer covered $358.40
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-01-04
- Stop
- 2020-01-04
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Ross Stehr
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-9b7d-615197fdd828