Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1985-03-15
- Stop
- 1985-03-15
The parties
- Patient
- patient Kelly Carson Gutkowski
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
177a983f-792c-a950-52a1-fb9dc416516f