Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-20
- Stop
- 2017-09-20
The parties
- Patient
- patient Danae Ofelia Walsh
- Provider
- provider Greta Gutmann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
3764723b-d871-6d97-919f-7e034f7ea398