Claim total
$467.72
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-08-20
- Stop
- 2019-08-20
The parties
- Patient
- patient Reta Thora Bogan
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
2f14578f-142e-120d-3c29-a933721226dd