Claim total
$10,124.19
base $93.39 · payer covered $7,991.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-02-07
- Stop
- 2017-02-08
The parties
- Patient
- patient Reginald Nicholas Torp
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicare
Record id
30569de9-7593-beca-a320-18d46d42e310