Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2011-08-29
- Stop
- 2011-08-29
The parties
- Patient
- patient Pete Ignacio Feest
- Provider
- provider Floyd Toy
- Payer
- payer Medicare
Record id
09b9c891-0bef-2077-76d3-2cce86f04f69