Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1988-01-10
- Stop
- 1988-01-10
The parties
- Patient
- patient Whitney Gonzalo Spinka
- Provider
- provider Ramiro Boehm
- Payer
- payer Dual Eligible
Record id
3993c7c5-7c54-f876-def1-8c7f38a29019