Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-06-24
- Stop
- 2017-06-24
The parties
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
34ca1156-190d-d8c9-5c29-070d4502b3a1