Claim total
$126.29
base $93.39 · payer covered $101.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-09-28
- Stop
- 2025-09-28
The parties
- Patient
- patient Claud Roland Kutch
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicare
Record id
2807bb3b-10eb-cf70-525d-5d4f6d56e171