Claim total
$5,201.74
base $76.30 · payer covered $3,003.43
The visit
- Class
- Emergency
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2019-04-17
- Stop
- 2019-04-17
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Cigna Health
Record id
006af299-d813-2b4f-b4e0-30ed8ff2eb22