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
- 2024-07-23
- Stop
- 2024-07-23
The parties
- Patient
- patient Jerome Kohler
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
2feabf77-27d8-4e25-570f-1d8aa67a7c00