Claim total
$593.19
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-02-22
- Stop
- 2020-02-22
The parties
- Patient
- patient Soledad Sabina Stanton
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
1a03711e-49e9-4b79-f652-66ebef9d4521