Claim total
$4,828.44
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-05-11
- Stop
- 2024-05-11
The parties
- Patient
- patient Stuart Bennie Torp
- Provider
- provider Adrienne Hills
- Payer
- payer No insurance
Record id
12b83633-7c2e-6812-8417-f406ed24eb5b