Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-05-25
- Stop
- 2021-05-25
The parties
- Patient
- patient Camellia Balistreri
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
0a7ebdbd-4c3a-07d2-b82d-2ef2d30695e0