Claim total
$418.99
base $93.39 · payer covered $293.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-02-13
- Stop
- 2023-02-13
The parties
- Patient
- patient Sabina Taryn Mohr
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
2bcdaa8e-1df4-bf8a-6842-5c643bfab9b5