Claim total
$249.22
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-02-09
- Stop
- 2021-02-09
The parties
- Patient
- patient Dionne Clarine Goyette
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
30b625d5-2a32-ead8-ee1a-e56a5c9212a7