Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Gout90560007
- Start
- 2022-06-18
- Stop
- 2022-06-18
The parties
- Patient
- patient Carla María Luisa León
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
1d508144-53cb-4866-dce7-c5992816ec9c