Claim total
$10,124.19
base $93.39 · payer covered $4,210.23
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-03-04
- Stop
- 2026-03-04
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Harold Hagenes
Record id
017647b2-914f-2bdf-5ca7-8534deaa439b