Claim total
$189.25
base $93.39 · payer covered $151.40
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-01-14
- Stop
- 2025-01-14
The parties
- Provider
- provider Janette Fisher
- Payer
- payer Medicare
Record id
2f8f5d60-da22-b989-052b-fa071c55d9db