Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-08-19
- Stop
- 2016-08-19
The parties
- Patient
- patient Johnny Michel Kemmer
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
18fe259c-1467-8f8d-ec21-ac13af7e5264