Claim total
$163.93
base $93.39 · payer covered $128.93
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-08
- Stop
- 2026-05-08
The parties
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
26d31827-2350-9e33-ad98-834daf67a9c1