Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Partial thickness burn403191005
- Start
- 2023-05-22
- Stop
- 2023-05-22
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
063478ae-8114-83fa-bdf7-9b86afbb3a57