Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2020-03-28
- Stop
- 2020-03-28
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Richard Ledner
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-151d-0af0513a5685