Claim total
$190.64
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-01-09
- Stop
- 2021-01-10
The parties
- Patient
- patient Vicky Alvera Gulgowski
- Provider
- provider Marcus Douglas
Record id
25ad8aae-d2b9-f615-7693-384a6fde25be