Claim total
$5,729.62
base $93.39 · payer covered $4,583.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-04-26
- Stop
- 2016-04-26
The parties
- Patient
- patient Alphonse Ricky Bernhard
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
2e3c3108-70f2-7f33-e828-c28583611a80