Claim total
$463.28
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1978-02-03
- Stop
- 1978-02-03
The parties
- Patient
- patient Man Jerrold Larkin
- Provider
- provider Kelvin Reichel
- Payer
- payer No insurance
Record id
069b5965-af71-2dc0-467f-0e446f071554