Claim total
$520.61
base $93.39 · payer covered $416.49
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2012-01-20
- Stop
- 2012-01-20
The parties
- Patient
- patient Hugo Lucas Valenzuela
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
335171b1-99b5-a5ab-ca20-39b3b41462ea