Claim total
$2,601.09
base $93.39 · payer covered $2,551.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-05-27
- Stop
- 2024-05-27
The parties
- Patient
- patient Shon Stewart Considine
- Provider
- provider Trinity Mraz
- Payer
- payer Medicaid
Record id
2e06e0f7-a404-4867-2c1a-64116df1e45f