Claim total
$8,593.61
base $93.39 · payer covered $6,874.88
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2016-11-02
- Stop
- 2016-11-02
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-b8f3-c60485e7e4d4