Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-04-07
- Stop
- 2021-04-07
The parties
- Patient
- patient Beula Shaunta Wiegand
- Provider
- provider Dale Mertz
- Payer
- payer Cigna Health
Record id
070984e6-7643-dc77-c3ec-e81ae59f74fd