Claim total
$210.07
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1964-09-30
- Stop
- 1964-10-01
The parties
- Patient
- patient Cedrick Cruickshank
- Provider
- provider Kelvin Reichel
- Payer
- payer No insurance
Record id
1f831053-89b2-b3f0-ec4a-4950c568ff00