Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 394701000
- Reason
- diagnosis concept Asthma195967001
- Start
- 2019-09-13
- Stop
- 2019-09-13
The parties
- Patient
- patient Angelo Muller
- Provider
- provider Lawrence Lemke
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
036bf274-5bd6-d003-8040-5dc425c68c32