Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-22
- Stop
- 2026-04-22
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Burton O'Conner
- Payer
- payer No insurance
Record id
043d6e13-0cc7-07f3-9b94-499efcd75f82