Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2022-02-20
- Stop
- 2022-02-20
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
063478ae-8114-83fa-f62c-f0c58c3eed23