Claim total
$201.72
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-07-09
- Stop
- 2017-07-09
The parties
- Patient
- patient Israel Antoine Lockman
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
364f2d45-df6d-39b0-54d4-f31dbb644d56