Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-22
- Stop
- 2021-10-22
The parties
- Patient
- patient Emiko Meredith McDermott
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
2536e76e-ddc0-92f7-e63f-92eb323605b6