Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-11-19
- Stop
- 2020-11-19
The parties
- Patient
- patient Ty Cameron Koelpin
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
23667586-d67c-33d2-8318-f86cd423431b