Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-09-27
- Stop
- 2021-09-27
The parties
- Patient
- patient Jake Noel VonRueden
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
07712e5c-ba5e-6b23-fae6-a984c33a6c20