Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-08-20
- Stop
- 2021-08-20
The parties
- Patient
- patient Shawnee Lennie Baumbach
- Provider
- provider Marcus Douglas
- Payer
- payer Medicare
Record id
0c7f9ef0-cfa4-6265-252d-0d4ab940a48d