Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-10-25
- Stop
- 2019-10-25
The parties
- Patient
- patient Mauro Isaias Braun
- Provider
- provider Andria Spinka
Record id
2d68ad16-268a-478c-bf87-26791c37355c