Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1988-10-18
- Stop
- 1988-10-18
The parties
- Patient
- patient Mauro Long Emmerich
- Provider
- provider Trinity Mraz
- Payer
- payer Dual Eligible
Record id
23076cc7-987a-7400-87b8-f124348b423f