Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-08-20
- Stop
- 2018-08-20
The parties
- Patient
- patient Chana Jung Kuhlman
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
0b9ae72a-4873-5d31-e58a-2d0f1b935d30