Claim total
$3,447.07
base $93.39 · payer covered $3,447.07
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2024-02-06
- Stop
- 2024-02-06
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0266f4cc-2c2d-37bb-cfff-a864aa87a3ca