Claim total
$3,447.07
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 1991-07-12
- Stop
- 1991-07-12
The parties
- Patient
- patient Queenie Van Keebler
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
046b1f1e-c36f-c080-0cc2-bd171e4f7995