Claim total
$655.49
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-05-18
- Stop
- 2022-05-18
The parties
- Patient
- patient Ross Bill Bradtke
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Cigna Health
Record id
2a675be2-5a92-6634-8944-ef43fbfc375e