Claim total
$3,563.08
base $93.39 · payer covered $766.98
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-03-13
- Stop
- 2020-03-13
The parties
- Patient
- patient Kieth Hammes
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
21cb574d-8aa1-8541-84e1-38ee0cde26c2