Claim total
$3,509.83
base $93.39 · payer covered $70.36
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-07-15
- Stop
- 2024-07-15
The parties
- Patient
- patient Renata Dalia Willms
- Provider
- provider Hassie Beer
- Payer
- payer Cigna Health
Record id
1821434e-e956-edc8-3e66-32333b405c55