Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-08-25
- Stop
- 2016-08-25
The parties
- Patient
- patient Fe Tamra Hickle
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Cigna Health
Record id
31513e5a-00e5-5348-8a10-25777c45a6cb