Claim total
$13,818.67
base $76.30 · payer covered $6,612.09
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Appendicitis74400008
- Start
- 2007-01-19
- Stop
- 2007-01-23
The parties
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
02e77898-0a14-d00d-bd99-dc108c88be9b