Claim total
$4,594.87
base $93.39 · payer covered $4,544.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-09-26
- Stop
- 2016-09-26
The parties
- Patient
- patient May Nery Steuber
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
1618ad97-a191-17ee-3aee-8a7c0899c2a0