Claim total
$670.20
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-10-09
- Stop
- 2019-10-09
The parties
- Patient
- patient Esteban Sancho Ornelas
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Cigna Health
Record id
2deabe4d-2e42-b012-1a9f-9b6711b62d0c