Claim total
$126.29
base $93.39 · payer covered $76.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-02-19
- Stop
- 2026-02-19
The parties
- Patient
- patient Maurice Palmer Stamm
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
2924da49-d719-85a1-34e7-3cc4fa87ba95