Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-02
- Stop
- 2016-10-02
The parties
- Patient
- patient Albert Mark VonRueden
- Provider
- provider Jo Stiedemann
- Payer
- payer Anthem
Record id
22d2d4b6-6316-f594-ed28-72775c24f3f3