Claim total
$5,201.74
base $76.30 · payer covered $5,151.74
The visit
- Class
- Emergency
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2007-04-24
- Stop
- 2007-04-24
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Davida Wolff
- Payer
- payer Medicaid
Record id
01bbe7d1-151b-3eec-b0aa-d6e50ff438fb