Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1998-12-01
- Stop
- 1998-12-01
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
000287f5-a0d8-f77b-61ef-13483a9f84b0