Claim total
$2,601.09
base $93.39 · payer covered $2,551.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-08-15
- Stop
- 2020-08-15
The parties
- Patient
- patient Marni Pinkie Graham
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
335e3613-e55f-e961-ff8e-8d3a7127a02d