Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-12-17
- Stop
- 2016-12-17
The parties
- Patient
- patient Darby Deane Graham
- Provider
- provider Floyd Toy
- Payer
- payer No insurance
Record id
38225557-920e-dbf8-5564-ef75bb620364