Claim total
$282.28
base $93.39 · payer covered $225.82
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-01-25
- Stop
- 2018-01-25
The parties
- Patient
- patient Carlton Felix Emmerich
- Provider
- provider Michael Dibbert
- Payer
- payer Medicare
Record id
310b0372-4f38-c0a7-ea55-58c96126d982