Claim total
$126.29
base $93.39 · payer covered $76.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-03-14
- Stop
- 2024-03-14
The parties
- Patient
- patient Patrice Stoltenberg
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
1db80c18-5cf5-3854-94b9-e8f34f37f9a4