Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-12-31
- Stop
- 2016-12-31
The parties
- Patient
- patient Selma Gerlach
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
3277825b-5883-664a-b6f3-1cc08a6d26cb