Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2014-03-09
- Stop
- 2014-03-09
The parties
- Patient
- patient Wes Scot Brown
- Provider
- provider Harold Hagenes
- Payer
- payer No insurance
Record id
2c7b78b3-aa40-5b0d-bb25-5ee29e822f1b