Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-11-21
- Stop
- 2024-11-21
The parties
- Patient
- patient Sammy Connelly
- Provider
- provider Jo Stiedemann
- Payer
- payer No insurance
Record id
0f125ecc-9c72-2557-a164-b636b634ac2a