Claim total
$126.29
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-04-04
- Stop
- 2020-04-04
The parties
- Patient
- patient Phillip Donovan Beahan
- Provider
- provider Janette Fisher
- Payer
- payer Cigna Health
Record id
248f8008-89fe-dc1a-239d-db17cea16440