Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2023-11-17
- Stop
- 2023-11-17
The parties
- Patient
- patient Heriberto Bennie Walsh
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
02b5c001-4bdb-16d2-85a4-77d9a8a1bf74