Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2023-03-02
- Stop
- 2023-03-02
The parties
- Patient
- patient Felicitas Lilla White
- Provider
- provider Byron Gerhold
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
009a994d-1397-364c-ab75-b5b79ccb0a1f