Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-06-08
- Stop
- 2021-06-08
The parties
- Patient
- patient Clay Joel Fisher
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
1eb91fa7-a26b-0e95-1530-dabd8ceef8c6