Claim total
$3,041.77
base $93.39 · payer covered $2,043.38
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-04-25
- Stop
- 2025-04-25
The parties
- Patient
- patient Otelia Kelsi Grant
- Provider
- provider Floyd Toy
- Payer
- payer UnitedHealthcare
Record id
11a50515-48c1-9cb9-0a16-73b2097aaae2