Claim total
$406.51
base $93.39 · payer covered $325.21
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2005-12-13
- Stop
- 2005-12-13
The parties
- Patient
- patient Jeffry Labadie
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
19aec687-b7f8-9eb6-c651-c11b79369136