Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-30
- Stop
- 2026-04-30
The parties
- Patient
- patient Cedric Mathew Konopelski
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
07a5fe6c-a44f-5fdc-90a7-0f5589405119