Claim total
$135.64
base $93.39 · payer covered $85.64
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-09-09
- Stop
- 2023-09-09
The parties
- Patient
- patient Marhta Flossie Lind
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
07781163-5e47-036d-9db6-33642918626b