Claim total
$408.00
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-04-01
- Stop
- 2021-04-01
The parties
- Patient
- patient Cleo Gutmann
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
226a6af6-0685-9d5b-fcb5-8d79cd2f3c62