Claim total
$4,214.43
base $93.39 · payer covered $3,371.54
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-07-18
- Stop
- 2021-07-18
The parties
- Patient
- patient Colby Wintheiser
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
20bc4efb-24a4-91b5-49be-7a118b91bb0d