Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-11-08
- Stop
- 2015-11-08
The parties
- Patient
- patient Lamont Cameron Lehner
- Provider
- provider Liz Kozey
- Payer
- payer No insurance
Record id
25596306-3212-99a2-42f3-66b29e9d15c0