Claim total
$2,423.57
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2000-09-02
- Stop
- 2000-09-02
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
04384da7-7311-e99a-94d6-9a74b5d4a0d7