Claim total
$4,397.05
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1984-10-28
- Stop
- 1984-10-28
The parties
- Patient
- patient Morgan August Cummings
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0f63ef52-ac5f-24b5-b1a1-2e174aa5cf9b