Claim total
$4,401.35
base $93.39 · payer covered $1,294.34
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-01-24
- Stop
- 2020-01-24
The parties
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
123ef959-e087-2800-b96a-c3fe81eaa41c