Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-10-18
- Stop
- 2022-10-18
The parties
- Patient
- patient Shizuko Joy Price
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
27e81d26-9810-2f2f-d4e9-4f23b4cc62f0