Claim total
$233.62
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-05-07
- Stop
- 2018-05-07
The parties
- Patient
- patient Kathey Ondricka
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
1e8bb4ba-36c4-2fd4-3f18-097cf79e83e0