Claim total
$2,601.09
base $93.39 · payer covered $2,551.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-03-22
- Stop
- 2026-03-22
The parties
- Patient
- patient Truman Courtney Ferry
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
17e9a88b-30dd-4396-158a-6986e4f5083e