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
- 2023-01-08
- Stop
- 2023-01-08
The parties
- Patient
- patient Florinda Suzanna Lehner
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
05d39322-006c-95d6-8d2e-01b13101fe6c