Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-07
- Stop
- 2021-10-07
The parties
- Patient
- patient Kim Iliana Lesch
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
11c4fef0-0a84-e3b3-9a14-e525a694b9c6