Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-09
- Stop
- 2017-03-09
The parties
- Patient
- patient Danuta White
- Provider
- provider Harold Hagenes
- Payer
- payer Cigna Health
Record id
13b7ba66-6b7b-ffe4-4ac3-88e0e9f5015d