Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1999-10-30
- Stop
- 1999-10-30
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
00d351d5-8ef1-f44d-1e54-708d2b5b696f