Claim total
$126.29
base $93.39 · payer covered $101.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-01-07
- Stop
- 2022-01-07
The parties
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
23088664-4c85-2fc4-3354-d717554108fd