Claim total
$343.68
base $93.39 · payer covered $293.68
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-06
- Stop
- 2023-11-06
The parties
- Patient
- patient Ivonne Senger
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
227fef4b-368a-4c5e-3fb3-98a9cfa6e460