Claim total
$5,243.83
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-09-20
- Stop
- 2018-09-20
The parties
- Patient
- patient Benito César Quintero
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
2474b3ff-db68-b836-98f8-1c29e404b3f7