Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-01-18
- Stop
- 2021-01-18
The parties
- Patient
- patient Benito César Quintero
- Provider
- provider Catalina Weimann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
2474b3ff-db68-b836-5e60-99c863fe28f7