Claim total
$295.19
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-02-26
- Stop
- 2026-02-26
The parties
- Patient
- patient Keesha Jacinda Raynor
- Provider
- provider Rebeca Lomeli
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
21a094e7-5e42-b03c-318e-238494a37d22