Claim total
$176.96
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-01-19
- Stop
- 2023-01-19
The parties
- Patient
- patient Karon Koelpin
- Provider
- provider Irmgard Padberg
- Payer
- payer Cigna Health
Record id
223d4220-b8bd-0490-62f0-bc9f07da6afc