Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-01-25
- Stop
- 2020-01-25
The parties
- Patient
- patient Santos Sulema Boyer
- Provider
- provider Richard Ledner
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
2474a716-f77f-8720-ea23-104fd1ba6da6