Claim total
$177.42
base $93.39 · payer covered $127.42
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-08-08
- Stop
- 2022-08-08
The parties
- Patient
- patient August Darrel Dach
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
092b8bdc-b84a-4582-83fe-5afe0fa32522