Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2021-07-14
- Stop
- 2021-07-14
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Ramiro Boehm
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-9a70-93ca468a7815