Claim total
$101.32
base $93.39 · payer covered $51.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1982-09-14
- Stop
- 1982-09-14
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
0274bb53-c777-eb96-bdef-7dafe57a926b