Claim total
$3,223.62
base $93.39 · payer covered $2,578.89
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-22
- Stop
- 2026-04-22
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Ross Stehr
- Payer
- payer Anthem
Record id
03f9d33d-12ca-f1a8-d750-6f040417da0d