Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-04-20
- Stop
- 2023-04-20
The parties
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
04dc5210-87cc-ee45-77b4-4e9c85b91d1f