Claim total
$375.23
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-12-05
- Stop
- 2019-12-05
The parties
- Patient
- patient Eartha Shanice Kuhic
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
1bc9f390-963f-a03c-4777-9ab6c2e4babf