Claim total
$751.47
base $93.39 · payer covered $601.17
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-11-14
- Stop
- 2017-11-14
The parties
- Patient
- patient Virginia Ramona Rosales
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
0fc0e1a1-6c95-9fb6-2c17-ac8ba6adce52