Claim total
$686.27
base $93.39 · payer covered $549.01
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2006-04-14
- Stop
- 2006-04-14
The parties
- Patient
- patient Jayne Abshire
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicare
Record id
2062b820-246f-b872-c29e-ead1697f5015