Claim total
$12,614.31
base $93.39 · payer covered $10,091.45
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-09
- Stop
- 2022-04-09
The parties
- Patient
- patient Lamonica Candida Mante
- Provider
- provider Marcus Douglas
- Payer
- payer Medicare
Record id
29980f80-2c14-58bc-fc9c-92935cf5aadb