Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-06-03
- Stop
- 2024-06-03
The parties
- Patient
- patient Bebe Yasmine Schmeler
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
3197aeeb-c915-c907-e130-654e58e09c40