Claim total
$5,192.08
base $93.39 · payer covered $5,192.08
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2007-04-28
- Stop
- 2007-04-28
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01bbe7d1-151b-3eec-a3ef-3ed5276cd07a