Claim total
$333.66
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1979-01-24
- Stop
- 1979-01-24
The parties
- Patient
- patient Nicholas Glenn Beatty
- Provider
- provider Ramiro Boehm
- Payer
- payer No insurance
Record id
340ca81c-47ed-6eb0-ca7a-f013d2fe3c98