Claim total
$162.74
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-09-27
- Stop
- 2018-09-27
The parties
- Patient
- patient Darryl Rosendo Johnston
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
37d59dbe-6090-c49b-acff-e15e8e1b410e