Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-09-04
- Stop
- 2020-09-04
The parties
- Patient
- patient Ulysses Rick Kihn
- Provider
- provider Kelvin Reichel
- Payer
- payer Anthem
Record id
22b90427-9632-4f64-c699-89707878c4a3