Claim total
$364.70
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-28
- Stop
- 2022-04-28
The parties
- Patient
- patient Michael Lyman Kuphal
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
Record id
13cef9c2-3228-1542-aaa1-f7db9da3bde2