Claim total
$3,447.07
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 1999-04-26
- Stop
- 1999-04-26
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
000287f5-a0d8-f77b-365a-e6cb5102e8d8