Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2001-03-16
- Stop
- 2001-03-16
The parties
- Patient
- patient Larry Agatha Streich
- Provider
- provider Lawrence Lemke
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
097b8462-48ec-547b-b8db-e7a71070ecc9