Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-01-17
- Stop
- 2020-01-17
The parties
- Patient
- patient Armando Sang Schowalter
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
2995f986-789a-ef07-fbb4-18e9952c7aaf