Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1989-11-18
- Stop
- 1989-11-18
The parties
- Patient
- patient Milford Damien Miller
- Provider
- provider Pasquale Grimes
- Payer
- payer No insurance
Record id
0dc3f1d4-8eb8-e2f2-5e0f-7cd195f62d01