Claim total
$3,223.62
base $93.39 · payer covered $3,173.62
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-04-27
- Stop
- 2019-04-27
The parties
- Patient
- patient Stuart Bennie Torp
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
12b83633-7c2e-6812-2ba6-c7456733ccc1