Claim total
$484.39
base $93.39 · payer covered $434.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-06-12
- Stop
- 2016-06-12
The parties
- Patient
- patient Kareem Miguel Hansen
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
184ce6c3-a49b-5eed-6dff-75d0edf4405f