Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-11-15
- Stop
- 2019-11-15
The parties
- Patient
- patient Darla Leigha McCullough
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
0b24e9bf-0320-dcd2-e262-290b3f9dae72