Claim total
$511.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-01-10
- Stop
- 2026-01-10
The parties
- Provider
- provider Byron Gerhold
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
17dd03bd-2b5f-6131-aadf-cc7403dd4e17