Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-02-26
- Stop
- 2019-02-26
The parties
- Patient
- patient Darryl Dorsey Padberg
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
25ff6d03-239a-5c83-fe40-af01629bf404