Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-10-24
- Stop
- 2023-10-24
The parties
- Patient
- patient Salvador Hernán Marrero
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
003934f5-fa99-8d07-f72d-b100a208b3a5