Claim total
$373.95
base $93.39 · payer covered $323.95
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-09
- Stop
- 2023-11-09
The parties
- Patient
- patient Angella Rath
- Provider
- provider Luis Miguel Barajas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
3015a885-476c-3db9-1ddd-ab32d3fd71eb