Claim total
$3,035.77
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2019-04-15
- Stop
- 2019-04-15
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Wes Jast
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
006af299-d813-2b4f-e6ad-00325bb55ddc