Claim total
$751.47
base $93.39 · payer covered $526.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-31
- Stop
- 2017-03-31
The parties
- Patient
- patient Doug Dewayne Hauck
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
0fa83559-a261-6546-f0e9-6ad6e47dcf0a