Claim total
$321.68
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-01-05
- Stop
- 2021-01-05
The parties
- Patient
- patient Leonel Hane
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
16fca4d9-de7b-1ffb-82ed-19cbd64b6361