Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-10-26
- Stop
- 2020-10-26
The parties
- Patient
- patient Edmond Buck Frami
- Provider
- provider Adrienne Hills
- Payer
- payer Dual Eligible
Record id
2dadf8ee-904b-645a-758a-bc35eff1c51a