Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-08-31
- Stop
- 2024-08-31
The parties
- Patient
- patient Nicholas Ricky Legros
- Provider
- provider Michael Dibbert
Record id
1d3c9575-6efd-7d7f-6ab3-28b72691b1f9