Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-06-25
- Stop
- 2016-06-25
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Harold Hagenes
- Payer
- payer No insurance
Record id
01845754-7d83-d7eb-9483-8762412f0842