Claim total
$2,601.09
base $93.39 · payer covered $2,080.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2005-04-21
- Stop
- 2005-04-21
The parties
- Patient
- patient Norris Jimmy Kuhn
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicare
Record id
2d90965f-f4f7-8f82-0471-4c974ec86a49