Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2020-11-06
- Stop
- 2020-11-06
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Anthem
Record id
023818a4-3852-fbab-694d-2b4f3c53297d