Claim total
$345.11
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-02-10
- Stop
- 2026-02-10
The parties
- Patient
- patient Felicitas Lilla White
- Provider
- provider Leila Thiel
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
009a994d-1397-364c-1f4f-d3484af5d95d