Claim total
$5,725.55
base $93.39 · payer covered $5,675.55
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-08-06
- Stop
- 2025-08-06
The parties
- Patient
- patient Jayson Huels
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
13b74bc5-1abd-7516-bfb4-60557001920a