Claim total
$162.96
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-07-28
- Stop
- 2024-07-28
The parties
- Patient
- patient Tyrell Chance Rutherford
- Provider
- provider Marcus Douglas
- Payer
- payer UnitedHealthcare
Record id
34a9f7f7-0cc5-2cf6-a209-b059b80a7f60