Claim total
$462.45
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-10-22
- Stop
- 2021-10-22
The parties
- Patient
- patient Tony Evan Lind
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
1ccbdc6a-138a-c811-b482-8eafdf63cd77