Claim total
$207.66
base $93.39 · payer covered $157.66
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1963-11-20
- Stop
- 1963-11-20
The parties
- Patient
- patient Cedrick Cruickshank
- Provider
- provider Kim Lind
- Payer
- payer Medicaid
Record id
1f831053-89b2-b3f0-9342-cc69a333d906