Claim total
$3,727.82
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-08-16
- Stop
- 2022-08-16
The parties
- Patient
- patient Ariane Chasity Block
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
29dee447-9aa1-e4a7-0a4a-6a284397be3b