Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2017-10-07
- Stop
- 2017-10-07
The parties
- Patient
- patient Cristobal Dana Wolf
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
016cc0d6-9a88-e8dc-bcc4-8c03a06033dc