Claim total
$2,835.14
base $93.39 · payer covered $2,268.11
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-12-10
- Stop
- 2023-12-10
The parties
- Patient
- patient Debra Lakisha Weimann
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicare
Record id
26eb4029-b786-3cf8-04fd-273eda4c764a