Claim total
$8,747.71
base $93.39 · payer covered $8,747.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2018-07-22
- Stop
- 2018-07-22
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
031e24ca-9978-b353-d882-d64f0baae285