Claim total
$126.29
base $93.39 · payer covered $126.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2000-09-22
- Stop
- 2000-09-22
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-7ca3-027cd0345086