Claim total
$126.29
base $93.39 · payer covered $76.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-10-23
- Stop
- 2020-10-23
The parties
- Patient
- patient Royal Lehner
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
09f5bcd2-b8b2-331d-c3ce-e56cccf6d8db