Claim total
$3,383.02
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-19
- Stop
- 2023-11-19
The parties
- Patient
- patient Roxie Leannon
- Provider
- provider Pasquale Grimes
- Payer
- payer No insurance
Record id
3ada161d-facd-4476-15c8-65188440891d