Claim total
$413.25
base $93.39 · payer covered $330.60
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-10-13
- Stop
- 2020-10-13
The parties
- Provider
- provider Floyd Toy
- Payer
- payer Medicare
Record id
2b96d0b0-d6ca-498b-8a9b-cd98decb6375