Claim total
$359.30
base $93.39 · payer covered $309.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-04-19
- Stop
- 2020-04-19
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-fb7e-40b0d95d0398