Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 2011-10-31
- Stop
- 2011-10-31
The parties
- Patient
- patient Latesha Heaney
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
02ab4e74-e091-f51b-b1a7-54f82985f988