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
- 2026-08-08
- Stop
- 2026-08-08
The parties
- Patient
- patient Annamarie Mollie Hoppe
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
0555f11c-c453-57eb-0fc9-daa655450f6a