Claim total
$751.47
base $93.39 · payer covered $601.17
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-04-25
- Stop
- 2015-04-25
The parties
- Patient
- patient Danilo Volkman
- Provider
- provider Harold Hagenes
- Payer
- payer Medicare
Record id
36724fda-fdcf-8680-0d25-31f82188bee9