Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-10-02
- Stop
- 2023-10-02
The parties
- Patient
- patient Alvera Delsie Toy
- Provider
- provider Wes Jast
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
1d1add62-9864-23be-0fff-ddb09837899e