Claim total
$312.52
base $93.39 · payer covered $262.52
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-04-17
- Stop
- 2016-04-17
The parties
- Patient
- patient Yajaira Maryjane Ryan
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
30380584-eeac-6046-72b7-59e04c6b7128