Claim total
$719.64
base $93.39 · payer covered $551.95
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-10-20
- Stop
- 2024-10-20
The parties
- Patient
- patient Owen Moen
- Provider
- provider Alphonse Kozey
- Payer
- payer Medicare
Record id
2f17d29a-ecaf-d52e-53fb-e0cbf924a868