Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-03-19
- Stop
- 2026-03-19
The parties
- Patient
- patient Winnie Laurie Jones
- Provider
- provider Marcus Douglas
- Payer
- payer Medicare
Record id
25a3e01f-d541-1d30-3fe6-b93aa33ea9ad