Claim total
$368.59
base $93.39 · payer covered $318.59
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-08-02
- Stop
- 2019-08-02
The parties
- Patient
- patient Columbus Kerluke
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
38f2e58f-5d08-f8a7-649e-b59ee8e7f26e