Claim total
$3,223.62
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-11-15
- Stop
- 2015-11-15
The parties
- Patient
- patient Marlana Loren Wiegand
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0cc65fea-7da9-3528-83c6-e583190ac4d4