Claim total
$3,796.83
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-11-20
- Stop
- 2017-11-20
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0453bbfc-4b53-3293-0e96-78a7df463d0e