Claim total
$3,035.77
base $93.39 · payer covered $1,483.44
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2019-11-04
- Stop
- 2019-11-04
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Harold Hagenes
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-b43f-ea4986780559