Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2023-05-21
- Stop
- 2023-05-21
The parties
- Patient
- patient Johnny Mattie Skiles
- Provider
- provider Trinity Mraz
- Payer
- payer Medicaid
Record id
01f72a06-0d81-377c-b728-7fd8344c21ce