Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-08-07
- Stop
- 2018-08-07
The parties
- Patient
- patient Hyman Alfred Conroy
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
22a118a1-9bf6-cbe9-a70c-31a5adf8ccdf