Claim total
$148.16
base $93.39 · payer covered $118.53
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-10-13
- Stop
- 2023-10-13
The parties
- Patient
- patient Lovella Chantel Turner
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicare
Record id
0c01dfe2-68c1-f9e7-6da2-9c82bb699c29