Claim total
$2,601.09
base $93.39 · payer covered $2,546.33
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-03-25
- Stop
- 2022-03-25
The parties
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
34ca1156-190d-d8c9-6d50-ad1e587ce83e