Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-01-05
- Stop
- 2025-01-05
The parties
- Patient
- patient Newton Gaston Miller
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Cigna Health
Record id
16c0ec81-0c0f-740f-1268-cb0ba2761f8b