Claim total
$751.47
base $93.39 · payer covered $716.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-06-07
- Stop
- 2026-06-07
The parties
- Patient
- patient Erich Leffler
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
2b764b05-4e2e-e4ab-025b-567e0fcf2868