Claim total
$126.29
base $93.39 · payer covered $101.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2006-06-30
- Stop
- 2006-06-30
The parties
- Patient
- patient Hugo Lucas Valenzuela
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
335171b1-99b5-a5ab-3f35-41ec1c886fe1