Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-09-05
- Stop
- 2025-09-05
The parties
- Patient
- patient Enrique Kautzer
- Provider
- provider Silvana Weber
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Aetna
Record id
36fced78-f023-679f-92b2-0cc537427d70