Claim total
$751.47
base $93.39 · payer covered $601.17
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-16
- Stop
- 2026-04-16
The parties
- Provider
- provider Harold Hagenes
- Payer
- payer Anthem
Record id
273a831b-a7c8-fb21-099e-00e1a2a502f3