Claim total
$93.39
base $93.39 · payer covered $37.22
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2017-08-14
- Stop
- 2017-08-14
The parties
- Patient
- patient Salvador Hernán Marrero
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
003934f5-fa99-8d07-898d-fb9a544b4b8e