Claim total
$7,624.04
base $93.39 · payer covered $7,574.04
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2021-06-09
- Stop
- 2021-06-09
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-1928-63448209d387