Claim total
$479.60
base $93.39 · payer covered $335.72
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-03-10
- Stop
- 2019-03-10
The parties
- Patient
- patient Marlana Loren Wiegand
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0cc65fea-7da9-3528-ca4e-b3577da6898f