Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-05-10
- Stop
- 2021-05-10
The parties
- Patient
- patient Theresia Kylie Ferry
- Provider
- provider Pasquale Grimes
- Payer
- payer Cigna Health
Record id
20b286d8-4a17-89cc-8087-d0c2a0a055bb