Claim total
$527.06
base $93.39 · payer covered $414.08
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-01-17
- Stop
- 2026-01-17
The parties
- Patient
- patient Kendra West
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3a2978f5-5447-2483-a77f-120264d06e5e