Claim total
$3,035.77
base $93.39 · payer covered $3,035.77
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2007-04-26
- Stop
- 2007-04-26
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01bbe7d1-151b-3eec-0684-c1e76be4c66e