Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1983-01-05
- Stop
- 1983-01-05
The parties
- Patient
- patient Susanna Avis Emard
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
0443166c-c803-503e-3c89-88a97a7c249b