Claim total
$133.08
base $93.39 · payer covered $106.46
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-04-11
- Stop
- 2020-04-11
The parties
- Patient
- patient Winnie Laurie Jones
- Provider
- provider Marcus Douglas
- Payer
- payer Medicare
Record id
25a3e01f-d541-1d30-4fc2-df2481978705