Claim total
$275.77
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-22
- Stop
- 2022-04-22
The parties
- Patient
- patient Dung Letha Wiegand
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
375938f9-6f2b-c55d-38e0-0bc71d3f32f1