Claim total
$101.32
base $93.39 · payer covered $101.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 2009-01-03
- Stop
- 2009-01-03
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Jo Stiedemann
Record id
00cb11fd-f3f7-0950-d661-c6728afd88f5