Claim total
$127.88
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-01-08
- Stop
- 2025-01-08
The parties
- Patient
- patient Becki Yvonne Weimann
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
20189b2b-d97e-8e5e-64e1-f47bd655b1f1