Claim total
$422.76
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-09-20
- Stop
- 2019-09-20
The parties
- Patient
- patient Lanita Daysi Jast
- Provider
- provider Burton O'Conner
- Payer
- payer Cigna Health
Record id
220bdd53-c919-6b71-6eda-8c8c3beca925