Claim total
$3,902.64
base $93.39 · payer covered $3,013.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-05-05
- Stop
- 2023-05-05
The parties
- Patient
- patient Leigha Sharleen Champlin
- Provider
- provider Marcus Douglas
- Payer
- payer Medicare
Record id
2f4e5dee-d991-4c97-7e69-f33d2d7dc69f