Claim total
$2,647.45
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2001-08-05
- Stop
- 2001-08-05
The parties
- Patient
- patient Mike Brendon Hackett
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
048bde62-95d9-bb18-151e-2a6bab66bf5a