Claim total
$454.91
base $93.39 · payer covered $363.93
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-12-08
- Stop
- 2017-12-08
The parties
- Patient
- patient Mikel Haley
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Anthem
Record id
0ee3c261-2c44-fbca-73a2-8be46c8b0793