Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2018-01-20
- Stop
- 2018-01-20
The parties
- Patient
- patient Saul Little
- Provider
- provider Lucas Kautzer
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Humana
Record id
0205c336-938f-d85a-847e-c3221a9dc3ca