Claim total
$751.47
base $93.39 · payer covered $105.12
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-01-15
- Stop
- 2022-01-15
The parties
- Patient
- patient Cornell Bernie Powlowski
- Provider
- provider Michael Dibbert
- Payer
- payer UnitedHealthcare
Record id
23a5eee3-ef92-bbc3-385a-a1fc9d36544e