Claim total
$1,373.88
base $75.00 · payer covered $1,099.10
The visit
- Class
- Virtual
- Code
- 185317003
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2022-05-24
- Stop
- 2022-05-24
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-fcbb-5d0c9a212cb2