Claim total
$185.97
base $93.39 · payer covered $135.97
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-06-27
- Stop
- 2025-06-27
The parties
- Patient
- patient Isela Lisbeth Lang
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
310def7b-a5c6-df96-65ef-b0bf5859ae6f