Claim total
$317.08
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-01
- Stop
- 2016-10-01
The parties
- Patient
- patient Nia Melia Hand
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
0dee4bff-44c0-1fc6-a1be-440cb07a65eb