Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-11-01
- Stop
- 2024-11-01
The parties
- Patient
- patient Cory Irwin Bergnaum
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
0a80947b-a6e7-a756-e1c9-c3be06d35620