Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1952-03-10
- Stop
- 1952-03-10
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
01d0b380-425a-3ac7-cdbc-8c278d45ecd8