Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2004-05-10
- Stop
- 2004-05-10
The parties
- Patient
- patient Maria Jerrell Bechtelar
- Provider
- provider Hazel Effertz
- Payer
- payer No insurance
Record id
0fb9a374-3017-65cf-0b38-5091d7e414ca