Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 1973-12-09
- Stop
- 1973-12-09
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
028512d5-49bb-87e7-107a-d274ecb9aae8