Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-02-27
- Stop
- 2018-02-27
The parties
- Patient
- patient Renata Dalia Willms
- Provider
- provider Janette Fisher
- Payer
- payer Aetna
Record id
1821434e-e956-edc8-8d38-ee324ea4151e