Claim total
$259.13
base $93.39 · payer covered $207.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-12-24
- Stop
- 2018-12-24
The parties
- Patient
- patient Darby Ledner
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicare
Record id
1bbcfc3b-d045-f651-c218-5b15e48957f9