Claim total
$2,601.09
base $93.39 · payer covered $1,820.76
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-01-23
- Stop
- 2022-01-23
The parties
- Patient
- patient Kasey Eduardo Vandervort
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
37ac1cf1-2fdc-912a-0fc6-ba1675124a8b