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
- 2023-06-01
- Stop
- 2023-06-01
The parties
- Patient
- patient Irving Noah Zboncak
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
2f7a09c8-cdf2-9b2d-a034-7da6f7987566