Claim total
$506.17
base $93.39 · payer covered $404.93
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2002-06-14
- Stop
- 2002-06-14
The parties
- Patient
- patient Geoffrey Kilback
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
27d28cce-29f9-127f-445e-ef381dc70174