Claim total
$257.29
base $93.39 · payer covered $205.83
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-11-17
- Stop
- 2017-11-17
The parties
- Patient
- patient Weldon Homenick
- Provider
- provider Hassie Beer
- Payer
- payer Anthem
Record id
14d12f0c-ee8f-7825-6396-faaa24d0de6c