Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-08-27
- Stop
- 2024-08-27
The parties
- Patient
- patient Gwyn Priscilla Spinka
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
2bcfe7e7-608a-8690-02e1-11cbd4670ec8