Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-11-30
- Stop
- 2018-11-30
The parties
- Patient
- patient Bennie Breitenberg
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
387f90ae-8393-d71f-bb75-81b89637d25d