Claim total
$101.32
base $93.39 · payer covered $51.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1970-05-03
- Stop
- 1970-05-03
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
01845754-7d83-d7eb-5508-960bff51f280