Claim total
$142.24
base $93.39 · payer covered $92.24
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-07-08
- Stop
- 2025-07-08
The parties
- Provider
- provider Trinity Mraz
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-87fa-ef9a2bfbac6e