Claim total
$5,482.95
base $93.39 · payer covered $3,289.77
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2023-09-08
- Stop
- 2023-09-08
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0266f4cc-2c2d-37bb-a0b5-cb56c206c854