Claim total
$576.28
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-08-20
- Stop
- 2022-08-20
The parties
- Patient
- patient Guadalupe Inés Hernández
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
2fea1ede-f20c-6dbf-06fe-8278362c57b0