Claim total
$384.29
base $93.39 · payer covered $307.43
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-09-28
- Stop
- 2025-09-28
The parties
- Patient
- patient Gonzalo Jc Stark
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
35ecf519-d5db-5fe4-9f86-d89b12223c22