Claim total
$5,192.08
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 1940-09-28
- Stop
- 1940-09-28
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Janette Fisher
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-1c3a-517ecff5d929