Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-08-10
- Stop
- 2015-08-10
The parties
- Patient
- patient Blanca Antonina Flatley
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
Record id
1624c58c-458a-404a-ef0f-1a68d094fbce