Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-05-14
- Stop
- 2025-05-14
The parties
- Patient
- patient Desire Windler
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
1930ba9f-cddd-904c-009b-bbe3172d913a