Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-12-17
- Stop
- 2020-12-17
The parties
- Patient
- patient Elodia Cathy Lakin
- Provider
- provider Floyd Toy
- Payer
- payer No insurance
Record id
1d583858-3ce0-9d32-e2da-9a48276ed047