Claim total
$583.95
base $93.39 · payer covered $583.95
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-08-17
- Stop
- 2023-08-17
The parties
- Patient
- patient Selina Lang Harvey
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
32100ffd-85d3-f11c-2b55-daa755c00601