Claim total
$751.47
base $93.39 · payer covered $601.17
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-06-07
- Stop
- 2017-06-07
The parties
- Provider
- provider Leta Sipes
- Payer
- payer Medicare
Record id
17bc2196-5977-7a0f-582d-350d4db29bbb