Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2014-08-28
- Stop
- 2014-08-28
The parties
- Patient
- patient Eula Hane
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
1c92c362-fad3-18d7-541c-1e5a29a4d51b