Claim total
$579.30
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-04-01
- Stop
- 2025-04-01
The parties
- Patient
- patient Rudy Fausto Prohaska
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
25c375cb-0200-f47a-d87f-49d34d4ca8dd