Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-03-25
- Stop
- 2022-03-25
The parties
- Patient
- patient Edwin Laverne Dicki
- Provider
- provider Leila Thiel
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
273c3f5e-5294-cd58-1feb-b415e4c43f11