Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-01-21
- Stop
- 2023-01-21
The parties
- Patient
- patient Ramona Cormier
- Provider
- provider Damien Langosh
- Payer
- payer Medicaid
Record id
269b798e-65b7-0857-ad2a-a5aff19846ab