Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1973-06-12
- Stop
- 1973-06-12
The parties
- Patient
- patient Berta Cruz
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
113b9e50-1286-0e01-c84f-d6df303a7ee4