Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-11-11
- Stop
- 2016-11-11
The parties
- Patient
- patient Owen Moen
- Provider
- provider Winston Schmeler
- Payer
- payer Medicare
Record id
2f17d29a-ecaf-d52e-9aa2-5d28813b1b3c