Claim total
$255.58
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-04-11
- Stop
- 2021-04-11
The parties
- Patient
- patient Jolyn Lizette Keeling
- Provider
- provider Silas Conn
- Payer
- payer No insurance
Record id
28d785bf-7b54-eb32-3123-512633d406c0