Claim total
$7,589.12
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-08-28
- Stop
- 2024-08-28
The parties
- Patient
- patient Jamar Lamont Waters
- Provider
- provider Liz Kozey
- Payer
- payer No insurance
Record id
0909bf90-b447-56d9-51ee-e153d14c10e0