Claim total
$10,124.19
base $93.39 · payer covered $7,991.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2008-07-08
- Stop
- 2008-07-08
The parties
- Patient
- patient Norris Jimmy Kuhn
- Provider
- provider Adrienne Hills
- Payer
- payer Medicare
Record id
2d90965f-f4f7-8f82-036f-f55f8ee09507