Claim total
$191.96
base $93.39 · payer covered $153.57
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2001-09-02
- Stop
- 2001-09-02
The parties
- Patient
- patient Max Don Farrell
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
255c6642-35d4-c675-0f9f-401d8e333c6b