Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2025-09-24
- Stop
- 2025-09-24
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Jo Stiedemann
- Payer
- payer Dual Eligible
Record id
0274bb53-c777-eb96-3c1f-6be37abcdd9f