Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 1981-07-02
- Stop
- 1981-07-02
The parties
- Patient
- patient Cristy Exie Pouros
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
034e20ab-aae7-ddf8-0f4c-445e348405c3