Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2026-04-05
- Stop
- 2026-04-05
The parties
- Patient
- patient Guadalupe Inés Hernández
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Aetna
Record id
2fea1ede-f20c-6dbf-0646-5b3788576700