Claim total
$3,899.71
base $93.39 · payer covered $655.63
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-06-29
- Stop
- 2026-06-29
The parties
- Patient
- patient Verdell Williamson
- Provider
- provider Leta Sipes
Record id
1cc37978-f9b8-d078-c0ac-256cc9af32ff