Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2016-10-21
- Stop
- 2016-10-21
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-2a9e-91f8912ab8a7