Claim total
$394.77
base $93.39 · payer covered $344.77
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-02-16
- Stop
- 2026-02-16
The parties
- Patient
- patient Wilfred Jeromy Nolan
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
339a5997-d469-f9bc-68af-6217c941d950