Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-02-05
- Stop
- 2023-02-05
The parties
- Patient
- patient Ozzie Pasquale Bogisich
- Provider
- provider Leta Sipes
Record id
099c86d1-c37a-eaca-bd8e-b6d9557d42f5