Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2009-03-20
- Stop
- 2009-03-20
The parties
- Patient
- patient Selina Lang Harvey
- Provider
- provider Lawrence Lemke
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
32100ffd-85d3-f11c-53b1-ce1ec95a0e2d