Claim total
$271.35
base $93.39 · payer covered $217.08
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-03-17
- Stop
- 2024-03-17
The parties
- Patient
- patient Fe Tamra Hickle
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Anthem
Record id
31513e5a-00e5-5348-437c-c266d3df8289