Claim total
$3,035.77
base $93.39 · payer covered $2,985.77
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 1948-04-10
- Stop
- 1948-04-10
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
013d575b-4a77-458a-5301-48adb4b431c6