Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1992-06-19
- Stop
- 1992-06-19
The parties
- Patient
- patient Crista Kristin Stehr
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
1ebf266f-db79-48d9-d8ca-17e785f03037