Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 1998-12-05
- Stop
- 1998-12-05
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Madalyn Konopelski
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
007e08f5-37d5-91e8-e601-a2a03817e7de