Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-10-23
- Stop
- 2019-10-23
The parties
- Patient
- patient Rufus Milford Koelpin
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
3a95383e-dcb8-456a-0020-d33eb9c7e21d