Claim total
$10,124.19
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2013-08-23
- Stop
- 2013-08-23
The parties
- Patient
- patient Danilo Volkman
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
36724fda-fdcf-8680-2998-f8cea1a94b9c