Claim total
$3,496.89
base $93.39 · payer covered $2,797.51
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-01-22
- Stop
- 2022-01-22
The parties
- Patient
- patient Jerrell Alphonso Goodwin
- Provider
- provider Burton O'Conner
- Payer
- payer Medicare
Record id
1e1c547c-f108-6b5c-b94c-4dce75ae1de9