Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-08-02
- Stop
- 2021-08-02
The parties
- Patient
- patient Victor Denis Cole
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
1fe76002-6b9a-6bae-3e92-c623538e2192