Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2024-12-17
- Stop
- 2024-12-17
The parties
- Patient
- patient Anderson Randell Stracke
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
0205f653-6551-192d-31e1-cd737bb919f2