Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-07-24
- Stop
- 2021-07-24
The parties
- Provider
- provider Pasquale Grimes
- Payer
- payer UnitedHealthcare
Record id
1ebab170-8a1d-2e20-5564-9bcbe331dbf3