Claim total
$498.72
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-09-11
- Stop
- 2018-09-11
The parties
- Patient
- patient Jammie Rippin
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Aetna
Record id
2471679b-8c00-2fe1-1c91-ad6c013e5006