Claim total
$10,124.19
base $93.39 · payer covered $4,067.76
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-15
- Stop
- 2026-04-15
The parties
- Patient
- patient Masako Leonore Dibbert
- Provider
- provider Jo Stiedemann
- Payer
- payer Cigna Health
Record id
239ee417-8147-4096-9f2a-bde426c13e1a