Claim total
$574.45
base $93.39 · payer covered $524.45
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2012-03-12
- Stop
- 2012-03-12
The parties
- Patient
- patient Micheal Tyron Muller
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
0c09670c-77c6-9a0a-c165-5aeceeeda595