Claim total
$473.54
base $93.39 · payer covered $378.83
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-07-12
- Stop
- 2022-07-12
The parties
- Patient
- patient Dwain Lubowitz
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
161a011f-815c-6571-04d3-51d3fa3c3659