Claim total
$3,223.62
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1994-05-12
- Stop
- 1994-05-12
The parties
- Patient
- patient Mike Brendon Hackett
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
048bde62-95d9-bb18-7017-618bfa227c4b