Claim total
$3,447.07
base $93.39 · payer covered $3,397.07
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2025-04-09
- Stop
- 2025-04-09
The parties
- Patient
- patient Margo Green
- Provider
- provider Tracee McLaughlin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
029fe5e1-f60c-f237-36b8-18944c00ad10