Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-05-05
- Stop
- 2024-05-05
The parties
- Patient
- patient Tristan Chase Moore
- Provider
- provider Ramiro Boehm
- Payer
- payer UnitedHealthcare
Record id
3ac7a739-3886-4d55-81b4-1dca55b0850c