Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-10-06
- Stop
- 2017-10-06
The parties
- Patient
- patient Debbi Senger
- Provider
- provider Pasquale Grimes
- Payer
- payer Cigna Health
Record id
37bddf43-7b9c-43b9-1893-04098c48e4c7