Claim total
$599.38
base $93.39 · payer covered $549.38
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-02-13
- Stop
- 2024-02-13
The parties
- Patient
- patient Cory Irwin Bergnaum
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
0a80947b-a6e7-a756-fa14-717d95dccc8c