Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2004-01-17
- Stop
- 2004-01-17
The parties
- Patient
- patient Rick Miles Lockman
- Provider
- provider Burton O'Conner
- Payer
- payer Medicare
Record id
2f111109-230b-28cb-bb24-dc5df9eaa133