Claim total
$1,785.18
base $75.00 · payer covered $1,428.14
The visit
- Class
- Virtual
- Code
- 185317003
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2020-03-04
- Stop
- 2020-03-04
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Harold Hagenes
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-2e54-6b4008f6e5d0