Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-01-23
- Stop
- 2025-01-23
The parties
- Patient
- patient Selina Lang Harvey
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
32100ffd-85d3-f11c-7b0e-0a442d3ba99b