Claim total
$684.62
base $93.39 · payer covered $634.62
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-14
- Stop
- 2016-10-14
The parties
- Patient
- patient Kamala Berge
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
298d869d-d937-6799-570f-9734cd6d1c60