Claim total
$338.52
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2014-07-17
- Stop
- 2014-07-17
The parties
- Patient
- patient Oren Scott Cartwright
- Provider
- provider Janette Fisher
- Payer
- payer No insurance
Record id
1122b556-35c1-c7a0-4a3c-9e7127c8c301