Claim total
$3,223.62
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1997-11-28
- Stop
- 1997-11-28
The parties
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2775f96d-5f87-38ff-d72d-f0473864b9ea