Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2023-06-19
- Stop
- 2023-06-19
The parties
- Patient
- patient Anderson Randell Stracke
- Provider
- provider Malena Wilderman
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
0205f653-6551-192d-2847-d19378d67ea6