Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2017-05-23
- Stop
- 2017-05-23
The parties
- Patient
- patient Heath Rigoberto Beatty
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
1a268d8b-45e2-3629-8e37-f543dce9e4c0