Claim total
$751.47
base $93.39 · payer covered $650.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-02-27
- Stop
- 2017-02-27
The parties
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicaid
Record id
35db3789-0c9b-f3d8-11f3-a30c987a346c