Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-12-24
- Stop
- 2023-12-24
The parties
- Patient
- patient Hubert Carey Donnelly
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
2d78cd30-6b9a-db6f-5dc2-acc8a657a030