Claim total
$3,133.43
base $93.39 · payer covered $2,506.74
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-10-17
- Stop
- 2023-10-17
The parties
- Patient
- patient Earnest Clark Boehm
- Provider
- provider Silas Conn
- Payer
- payer UnitedHealthcare
Record id
1d4e45dc-146b-0e0e-562d-9bb65a483a25