Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-01-19
- Stop
- 2024-01-19
The parties
- Patient
- patient Danita Willena Anderson
- Provider
- provider Pasquale Grimes
Record id
1717d7bb-8002-d228-3d1b-f42e48fa5c0e