Claim total
$2,633.49
base $93.39 · payer covered $2,583.49
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-10-13
- Stop
- 2015-10-13
The parties
- Patient
- patient Mikel Edmond Wisoky
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
2973ea9a-f1cd-e339-3e48-1bb41c2ccc13