Claim total
$3,738.42
base $93.39 · payer covered $3,688.42
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-12-16
- Stop
- 2024-12-16
The parties
- Patient
- patient Elisha Lucius Beer
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
0c3eaedd-0713-a0ea-614a-a80038dfecaa