Claim total
$348.70
base $93.39 · payer covered $274.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2007-12-23
- Stop
- 2007-12-23
The parties
- Patient
- patient Quintin Loyd Ullrich
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicaid
Record id
33a68753-f79f-bb9d-50fa-3202e7f17c63